Temporalis Muscle Suspension on Synthetic Cranioplasty: Technical Note

Temporal hollowing is a disfiguring complication after a craniectomy operation resulting from temporalis muscle atrophy, contraction, and adhesion to the underlying dura. We describe a technique for temporalis muscle re-suspension utilizing multi-hole cranial plates and screws to recreate the superior temporal line on an otherwise smooth synthetic cranioplasty implant.