Abstract
We described the clinical application of a handmade titanium plate for reconstruction of the cranial vault in three cases of postoperative complicated bone defects. The titanium plate was modeled and trimmed after the excised bone flap, or after the reconstructed bone made by joining the fragmented pieces in case of complicated skull fractures. It was made in one or two days, and at low cost. And satisfactory shaping was obtained despite the complicated defect of the cranial vault. Neither infection nor local abnormalities were revealed after cranioplasty. We conclude that the above mentioned method is useful for reconstructing postoperative skull defects with lower costs.