Exposed titanium mesh and dura persisting for 8 years after cranioplasty

Cranial defects and their reconstructions may be challenging in neurosurgery and plastic surgery practice. In this article, we present a patient who had an infection on the scalp with exposed titanium mesh and dura for 3 months. The patient had undergone craniectomy and cranioplasty with titanium mesh plate with local scalp flap 8 years ago due to skin tumor invasion to the skull. After the titanium mesh was removed at the operation, a considerably wide osteoneogenesis and a small bone defect (1.5 × 2 cm in size) were detected under the titanium mesh plate (10 × 10 cm in size), and computed tomography substantiated our observations. On the basis of our observation, titanium mesh plates could be recommended in patients who need cranioplasty instead of materials that are occupying and inhibiting osteoneogenesis in cranioplasty applications.