RESUMEN
The clinical records, radiological investigations and operative notes of twenty patients who had been diagnosed as having skull bone defects and who subsequently underwent surgical reconstructive technique with titanium mesh from April, 2000 to April, 2004 at Nasr Institute Hospital. There were 14 male patients [70%] the mean age was 36 years and 6 female's patients [30%] the mean age was 39 years. The initial presentation and the major clinical findings among these patients are skull bone defects for different causes; 80% of patients [16 cases] had past history of head injuries followed by skull bone defect, underwent the reconstructive procedure secondarily, as that reflected the timing of their referral, and 20% of the patients [4 cases] had oncology surgery was performed underwent reconstruction with the use of titanium mesh. In the present series of patients, the implant has been used for coverage of small, medium and large sized cranial defects in various locations. This experience suggests that the titanium mesh offers a safe, cosmetically equivalent alternative to standard other cranioplasty materials while ease of implantation shortens operation time and better quality of life for patients. We describe our surgical technique in which the titanium mesh is used and report our experience with it