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¹Selçuk Üniversitesi, Tıp Fakültesi Hastanesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Konya, Türkiye In patients who develop traumatic brain injury, increased intracranial pressure accelerates secondary brain injury, resulting in additional morbidity and mortality. Decompressive craniectomy is an effective surgical method to reduce intracranial pressure in traumatic brain injury. This method can be applied as primary or secondary. Although this surgical method has been used for hundreds of years, its complications are still not minimal. The right time, ideal patient selection, the right technique, and appropriate cranioplasty after the surgery are therefore required in order to increase the effectiveness and prevent the complications of decompressive craniectomy. Although there are many studies in the literature for all these parameters, there are still aspects that are not agreed upon today. In addition, multicenter randomized trials, the results of which have not yet been revealed, are ongoing. Anahtar Kelimeler : Decompression, Intracranial pressure, Craniectomy