Facial Plast Surg 2019; 35(06): 651-656
DOI: 10.1055/s-0039-3399522
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Skull Fractures and Calvarial Defects

Aurora Vincent
1  Department of Otolaryngology - Head and Neck Surgery, Madigan Army Medical Center, Tacoma, Washington
Mofiyinfolu Sokoya
2  Department of Otolaryngology, University of Colorado, Denver, Colorado
Tom Shokri
3  Department of Otolaryngology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania
Eli Gordin
4  Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, New York, New York
Jared C. Inman
5  Department of Otolaryngology, Loma Linda University Health, Loma Linda, California
Spiros Manolidis
6  Department of Otology, Neurotology, Texas Health Care PLLC, Grapevine, Texas
Yadranko Ducic
7  Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
29 November 2019 (online)


Scalp and calvarial defects can result from a myriad of causes including but not limited to trauma, infection, congenital malformations, neoplasm, and surgical management of tumors or other pathologies. While some small, nondisplaced fractures with minimal overlying skin injury can be managed conservatively, more extensive wounds will need surgical repair and closure. There are many autologous and alloplastic materials to aid in dural and calvarial reconstruction, but no ideal reconstructive method has yet emerged. Different reconstructive materials and methods are associated with different advantages, disadvantages, and complications that reconstructive surgeons should be aware of. Herein, we discuss different methods and materials for the surgical reconstruction of calvarial defects.