Figure 3.

(a) A 21-year-old male undergoing hydroxyapatite cranioplasty after bifrontal decompressive craniectomy for meningoencephalitis. (b and c) Intraoperative images of the flap and the implant. (d) Three weeks after cranioplasty the patient came back to our attention because of a large dehiscence occurring in the middle of the bifrontal flap. (e) A free radial flap from the right forearm was prepared. (f) After performing the anastomosis with the tireo-linguo-facial trunk, the radial flap was positioned over the defect. (g) Final vision after completing flap closure. (h) Four months after surgery full flap healing was observed