Abstract
To achieve better cosmesis and the protection of underlying structures, the use of titanium craniofacial plate has been adapted to the replacement of cranial bone flaps following pterional approach. In the previous common practice, wire suture induces significant artifacts on computed tomographic(CT) scans and magnetic resonance imaging(MRI), whereas synthetic suture allows sinking of the bone flaps. However, a review of 20 cases with titanium plate fixation following pterional approach has revealed there have been excellent cosmesis, no sinking of the bone flaps, and no complications related to the titanium plate. Furthermore, very little influence is involved with postoperative artifacts on MRI and CT scans. With use, the system takes no more time than current methods. It has been also proved that titanium plate fixation in case of pterional approach can provide better psychlogical effect. The use of titanium craniofacial plates is benefitial in patients with pterional approach.
