Split Calvarial Grafting for Closure of Large Cranial Defects: The Ideal Option?

  • Priya JeyarajEmail author
Clinical Paper


Among the various cranioplasty options for reconstruction of large post-craniectomy defects, split calvarial grafting offers numerous significant advantages such as the provision of viable autogenous bone graft material comprising of living, immunocompatible bony cells that integrate fully with the skull bone bordering the cranial defect. Its potential for revascularization and subsequent integration and consolidation allows its successful use even in previously infected or otherwise compromised recipient sites. Its excellent contour match at the recipient site and low cost as compared to various alloplastic implant materials often makes it preferable to the latter. Surgeon’s skill, dexterity, expertise and experience are important factors to be considered in this highly technique-sensitive procedure.


Cranioplasty Split calvarial grafting Corticocancellous calvarial bone strips Decompressive craniectomy (DC) 



This study was not funded by any organization/society.

Compliance with Ethical Standards

Conflict of interest

The author of this article has not received any research grant, remuneration, or speaker honorarium from any company or committee whatsoever, and neither owns any stock in any company. The author declares that she does not have any conflict of interest.

Ethical approval

This article does not contain any new studies with human participants or animals performed by the author.

Informed consent

Informed consent was obtained from all the individual participants in this study.

Research involving human participants and/or animals

All procedures performed on the patients (human participants) involved were in accordance with the ethical standards of the institution and/or national research committee, as well as with the 1964 Helsinki declaration and its later amendments and comparable ethical standards.


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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2019

Authors and Affiliations

  1. 1.Military Dental Centre (Gough Lines)Indian ArmySecunderabadIndia

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