Objective  To study the effect of cranioplasty with three-dimensional plastic titanium mesh in the repair of skull defects.

  Methods  A total of 45 patients with frontotemporal skull defects were randomly divided into observation group (n=29) and control group (n=16). The observation group was treated with three-dimensional plastic titanium mesh for cranioplasty, while the control group was treated with two-dimensional titanium mesh artificial shaping for skull repair. Beauty satisfaction related indicators in the two groups were compared.

  Results  At three months of follow-up after surgical treatment, there were 29 cases of symmetrical cephalic patterns on the cranial repair side and the undamaged side as well as 1 case of temporalis muscle collapse in the observation group. There were 12 cases of symmetrical cephalic patterns on the cranial repair side and the undamaged side, 4 cases of temporalis muscle collapse, 6 cases of scalp infection, 5 cases of line junction exposure, 3 cases of titanium mesh upturned or exposed, and 3 cases of subcutaneous hydrops in the control group. There were statistically significant differences between the two groups in terms of beauty satisfaction and the number of patients with common complications (P < 0.05).

  Conclusion  The incidence of common complications of cranioplasty with three-dimensional plastic titanium mesh is low, and the aesthetic satisfaction of the patients is high.