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Cranial defect, due to trauma or to complications of neurosurgery, have been regarded since the very beginning of medicine as a permanent danger and as an impairment to the patients life. Cranioplasty is a procedure for repairing defect of the skull for which numerous techniques and materials have been used. The preferencence for treatment by a clinician depends on his training and manual dexterity, the materials available, and the operative site. The frontal region, or anterior third of the calvarium, can be considered the most complex to mangement. The majority, intersted in this field, continued to search for a source which could provide bone easy to shape, close to the normal structure and function of the skull, and which could be obtained without causing too much damage to donor area. To reconstruct the calvrium with outer table none graft has aditional advantages than other conventional bone grafts, such as, it can be obtained at one surgical field and reduce operating time, good esthetic appearance result, and minimal donor defect. And so we report large frontal defect which was reconstructed with autogenous parietal bone outer table with good result.
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