Invited faculty neurosurgeon highlights the importance of temporalis muscle resuspension during cranioplasty to improve long-term reconstructive outcomes after severe traumatic brain injury.

As advances in neurocritical care and emergency neurosurgery continue to improve survival after severe traumatic brain injury (TBI), attention is increasingly shifting toward the long-term reconstructive challenges faced by survivors. One such challenge is temporal hollowing-a common postoperative deformity that develops after decompressive hemicraniectomy and can affect facial symmetry, temporalis muscle function and overall quality of life.