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. Author manuscript; available in PMC: 2016 Jan 6.
Published in final edited form as: Neurosurgery. 2014 Jun;10(0 2):179–190. doi: 10.1227/NEU.0000000000000296

FIGURE 4.

FIGURE 4

Preoperative photographs at 1 year after autologous bone flap cranioplasty with severe resorption (A and B). Intraoperative photograph of thin, friable bone flap after removal with near-complete resorption (C). Secondary alloplastic cranial reconstruction required temporalis mobilization and fixation to the implant using a titanium plate and permanent suture fixation, allowing near-anatomical reconstruction (D). Right oblique, frontal, and left oblique views at 2 months showing acceptable contour and temporal symmetry (EG).