Osteocranioplasty of calotte defects with autoplastic rib segments in children

Calotte defects that are larger than 3-5 cm require stable plastic reconstruction. Osseous regenerations take place at the connective tissue bone of the calotte if the dura is intact. Even large defects may be considerably reduced in this way within 2 or 3 years. Hence, indications must be critically reconsidered on a long-term basis. Autoplastic grafting of a rib segment has been known from the beginning of the present century. It has many advantages. Our approach, experience and results are presented.