Surgical treatment. (a) A skin incision has been made above the titanium plate to expose it. (b) The plate and all screws have been removed. (c) A relief skin incision has been made 6 cm posterior to the skin defect to enable (d) suturing of the defect without causing tension (white arrow). (e) The scalp defect caused by the relief incision portion has been covered with skin graft from the outer layer of skin of the right thigh. (f) Two months after the surgery, the skin incision has healed without infection and the skin graft has been successfully incorporated.