Cranioplasty-Autologous Bone graft Vs Titanium Mesh

Background: Cranioplasty (CP) is a neurosurgical procedure performed after decompressive craniectomy using autologous bone graft or various artificial materials. Aim: To find differences in complications between patients who underwent CP an flap versus titanium mesh as well to identify significant risk factors for post-CP Study Design: Comparative cross-sectional study. Methodology: A total of 46 were included this study, out which 37 males (80.4%) and 9 females (19.6%). All cranioplasty graft. Results: Comparison outcome implant was done. In 45.7% patients, used while 54.7%. 23.9% had developed different types both groups, 81.9% from group 18.1% belonged group. Surgical site infection noted (equally) groups. Craniopalsty 45.4% Hematoma encountered 2 patients; with none cranioplasty. Removal done one patient whileremoval not the other arm Bone resorption seen five all Learning curve that technique be followed by neurosurgeons better outcome. Practical implicatio Titanium junior learning good outcome, decrease duration hospital stay preservation precious resources hospital. Conclusion: superior grafting it has lessercomplications. Keywords: Autologous graft, resorption, cranioplasty, hematoma, infection, mesh.