Elevation of Depressed Skull Fracture with a Cup of Breast Pump and a Suction Generator : A Case Report in Technical Aspects

Kim, Young‐Jin; Lee, Sang Koo; Cho, Maeng Ki; Kim, Young-Joon

doi:10.3340/jkns.2007.42.4.346

Cited by 16 publications

(13 citation statements)

References 11 publications

(20 reference statements)

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“…Other disadvantages are the prolongation of hospitalization, in all its medical, social and economic aspects, and the anesthetic risks associated with surgical treatment. 1,13 These details become even more important in addressing the pediatric population, because of their greater vulnerability to the possible complications associated to the procedure. On account of the above, the possibility of conservative and noninvasive treatments has become an increasingly frequent reality.…”

Section: Discussion -Surgical Versus Nonsurgical Treatmentmentioning

confidence: 99%

“…Moreover, it avoids complications associated with the anesthetic procedure and those inherent to a craniotomy or trepanation during invasive approaches. 8,13 The proposed technique uses the principle of local negative pressure establishment, with traction of the affected bone segment to its previous position, and its main object of treatment is focused on ping pong fractures. Although directed predominantly to the pediatric population (especially < 2 years old), some authors have already been successful in treating older individuals.…”

Section: Discussion -Surgical Versus Nonsurgical Treatmentmentioning

confidence: 99%

“…The greatest extreme ever reported in the literature was the treatment of a depressed fracture of a 17-year-old girl. 8,13 The procedure is performed briefly and without the need for general anesthesia. Using appropriate equipment to create a negative pressure gradient, it is attached to the patient's scalp surface, on the topography of the bone defect, and is performed for only a few seconds, with light traction over it, until adequate clinical results are evident (reduction of bone and soft tissue retraction).…”

Section: Discussion -Surgical Versus Nonsurgical Treatmentmentioning

confidence: 99%

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Use of Vacuum-suction in Depressed Skull Fractures – Case Report and Technical Nuances of Nonoperative Treatment

Faleiro

Cavalheiro

Belo

et al. 2020

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Up to 20% of victims from skull fractures are represented by the pediatric population, and 50% of these lesions are depressed skull fractures. The treatment is multimodal in nature, ranging from conservative treatment to open surgical repair. The last one is associated, although in a small proportion, to complications, such as infections, hematomas and even death, besides the risks of the anesthetic procedure itself. The authors of the present article present a case report of the successful treatment of a depressed skull fracture in a newborn patient, using the vacuum-suction technique. The use of vacuum-suction may be beneficial for the pediatric patients, as it is a quick, non-invasive procedure, without the need for general anesthesia.

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Section: Discussion -Surgical Versus Nonsurgical Treatmentmentioning

confidence: 99%

Section: Discussion -Surgical Versus Nonsurgical Treatmentmentioning

confidence: 99%

Section: Discussion -Surgical Versus Nonsurgical Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Use of Vacuum-suction in Depressed Skull Fractures – Case Report and Technical Nuances of Nonoperative Treatment

Faleiro

Cavalheiro

Belo

et al. 2020

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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“…Surgical treatment usually requires a sizeable scalp incision and burr hole with or without craniotomy for reduction. [3][4][5] With this minimally-invasive technique, good results can be achieved without a burr hole or craniotomy. 1 It is even rarer when it is 'spontaneous'.…”

Section: Introductionmentioning

confidence: 99%

“…2 No standard treatment is established for depressed skull fracture in neonates. [3][4][5] With this minimally-invasive technique, good results can be achieved without a burr hole or craniotomy.…”

Section: Introductionmentioning

confidence: 99%

Surgical technique for ‘ping pong’ fractures: Elevation of depressed skull fractures in neonates with no burr hole

Chan

Zhu

et al. 2017

Surgical Practice

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Aim: Depressed skull fracture is a neurosurgical emergency. Surgical treatment usually requires a sizeable scalp incision and burr hole with or without craniotomy for reduction. However, depressed skull fracture in neonates, or 'ping pong' fracture, is an uncommon clinical condition, occurring in approximately 4-10 in 100 000 live births. No standard treatment is established for depressed skull fracture in neonates. With a minimally-invasive technique, a good surgical outcome can be achieved with minimal blood loss and no bone loss. Patients and Methods: A full-term, neonatal girl presented with spontaneous 'ping pong' fracture after a smooth, normal vaginal delivery. The anterior fontanelle was full. Computed tomography of the brain showed right parietal depressed skull fracture with sulci effacement, obliteration of the lateral ventricle and midline shift. Skull fracture reduction was performed with the bone elevation technique via access to the coronal suture without a burr hole or craniotomy. Results: A small stab wound incision was made over the right coronal suture at the lateral edge of the anterior fontanelle. This site was in close proximity to the anterior margin of the depressed skull fracture. With access to the coronal suture and dissection in the epidural space, reduction was achieved intraoperatively by elevation of the inner table of the skull bone. Blood loss was minimal, and there was no bone loss. The clinical outcome was excellent at 1-week, 3-months', 1-year and 18-months' follow up. Conclusion: For neonatal depressed skull fractures with clinical and radiographic evidence of a mass effect requiring surgical intervention, elevation with no burr hole is a good technique for bone reduction with minimal blood loss and no bone loss.

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Ping pong fractures: treatment using a new medical device

et al. 2012

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Elevation of Depressed Skull Fracture with a Cup of Breast Pump and a Suction Generator : A Case Report in Technical Aspects

Cited by 16 publications

References 11 publications

Use of Vacuum-suction in Depressed Skull Fractures – Case Report and Technical Nuances of Nonoperative Treatment

Use of Vacuum-suction in Depressed Skull Fractures – Case Report and Technical Nuances of Nonoperative Treatment

Surgical technique for ‘ping pong’ fractures: Elevation of depressed skull fractures in neonates with no burr hole

Ping pong fractures: treatment using a new medical device

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