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Published in: Child's Nervous System 7/2007

01-07-2007 | Technical Note

Depressed skull fracture in Ping Pong: elevation with Medeva extractor

Authors: Tania Leyva Mastrapa, Luis Alonso Fernandez, Manuel Diaz Alvarez, Bruce B. Storrs, Azucena Flores-Urueta

Published in: Child's Nervous System | Issue 7/2007

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Abstract

Introduction

The bones of the skull of the newborn and nursing infants, in general, possess great malleability. For this reason, the depressed fractures occurring at this age are called “Ping Pong” or “Green Stick” fractures. The treatment of these fractures is surgical according to different authors, although some of these fractures that happen in childbirth can elevate themselves spontaneously.

Technique

A breast milk extractor trade mark “MEDEVA” was used for the procedure in newborns with a depression larger than 2 cm in diameter. Minimal aspiration was performed while observing the elevation through the transparent breast milk extractor MEDEVA until the depression elevated without leaving any trace.

Discussion

The aspiration procedure was satisfactory and curative in the five children treated. The fracture was successfully elevated and the skull returned to its normal position and configuration without complications for the patients.

Conclusion

Finally, it has been demonstrated that this procedure is simple, inexpensive, and avoids surgical intervention.
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Metadata
Title
Depressed skull fracture in Ping Pong: elevation with Medeva extractor
Authors
Tania Leyva Mastrapa
Luis Alonso Fernandez
Manuel Diaz Alvarez
Bruce B. Storrs
Azucena Flores-Urueta
Publication date
01-07-2007
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 7/2007
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-007-0354-1

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