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Published in: Child's Nervous System 5/2008

01-05-2008 | Technical Note

Operative management of growing skull fractures: a technical note

Authors: Ashutosh Singhal, Paul Steinbok

Published in: Child's Nervous System | Issue 5/2008

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Abstract

Objects

Growing skull fractures can be a challenging surgical problem facing the pediatric neurosurgeon. The goal of this manuscript is to clarify effective surgical methods and to provide the rationale for these techniques.

Methods

We describe the surgical techniques for treatment of growing skull fractures. We clarify the underlying concepts, with respect to dural closure and repair of bony defects, that have led to these techniques.

Conclusions

With effective surgical technique, the pediatric neurosurgeon can effectively treat growing skull fractures, with excellent outcomes in terms of bony coverage and cosmesis.
Literature
1.
go back to reference Ersahin Y, Gulmen V, Palali I, Mutluer S (2000) Growing skull fractures (craniocerebral erosion). Neurosurg Rev 23:139–144PubMedCrossRef Ersahin Y, Gulmen V, Palali I, Mutluer S (2000) Growing skull fractures (craniocerebral erosion). Neurosurg Rev 23:139–144PubMedCrossRef
2.
go back to reference Greenwald JA, Mehrara B, Spector JA et al (2000) Biomolecular mechanisms of calvarial bone induction: immature versus mature dura mater. Plast Reconstr Surg 105:1382–1392PubMedCrossRef Greenwald JA, Mehrara B, Spector JA et al (2000) Biomolecular mechanisms of calvarial bone induction: immature versus mature dura mater. Plast Reconstr Surg 105:1382–1392PubMedCrossRef
3.
go back to reference Gupta SK, Reddy NM, Khosla VK, Mathuriya SN, Shama BS, Pathak A, Tewari MK, Kak VK (1997) Growing skull fractures: a clinical study of 41 patients. Acta Neurochir (Wien) 139:928–932CrossRef Gupta SK, Reddy NM, Khosla VK, Mathuriya SN, Shama BS, Pathak A, Tewari MK, Kak VK (1997) Growing skull fractures: a clinical study of 41 patients. Acta Neurochir (Wien) 139:928–932CrossRef
4.
go back to reference Guzel MZ, Yildirim AM, Yucel A, Seradjmir M, Dervisoglu S (1995) Osteogenic potential of infant dural grafts in different recipient beds. J Craniofac Surg 6:489–493PubMedCrossRef Guzel MZ, Yildirim AM, Yucel A, Seradjmir M, Dervisoglu S (1995) Osteogenic potential of infant dural grafts in different recipient beds. J Craniofac Surg 6:489–493PubMedCrossRef
5.
go back to reference Hobar PC, Schreiber JS, McCarthy JG, Thomas PA (1993) The role of the dura in cranial bone regeneration in the immature animal. Plast Reconstr Surg 92:405–410PubMedCrossRef Hobar PC, Schreiber JS, McCarthy JG, Thomas PA (1993) The role of the dura in cranial bone regeneration in the immature animal. Plast Reconstr Surg 92:405–410PubMedCrossRef
6.
go back to reference Hobar PC, Masson JA, Wilson R, Zerwekh J (1996) The importance of the dura in craniofacial surgery. Plast Reconstr Surg 98:217–275PubMedCrossRef Hobar PC, Masson JA, Wilson R, Zerwekh J (1996) The importance of the dura in craniofacial surgery. Plast Reconstr Surg 98:217–275PubMedCrossRef
7.
go back to reference Howship J (1816) Practical observations in surgery and morbid anatomy. Longman, London, as cited in: Ersahin Y, Gulmen V, Palali I, Mutluer S (2000) Growing skull fractures (craniocerebral erosion). Neurosurg Rev 23:139–144 Howship J (1816) Practical observations in surgery and morbid anatomy. Longman, London, as cited in: Ersahin Y, Gulmen V, Palali I, Mutluer S (2000) Growing skull fractures (craniocerebral erosion). Neurosurg Rev 23:139–144
8.
9.
go back to reference Mulhonen MG, Piper JG, Menezes AH (1995) Pathogenesis and treatment of growing skull fractures. Surg Neurol 43:367–373CrossRef Mulhonen MG, Piper JG, Menezes AH (1995) Pathogenesis and treatment of growing skull fractures. Surg Neurol 43:367–373CrossRef
10.
go back to reference Naim-Ur-Rahman, Jamjoom Z, Jamjoom A, Murshid WR (1994) Growing skull fractures: classification and management. Br J Neurosurg 8:667–679PubMedCrossRef Naim-Ur-Rahman, Jamjoom Z, Jamjoom A, Murshid WR (1994) Growing skull fractures: classification and management. Br J Neurosurg 8:667–679PubMedCrossRef
11.
go back to reference Naim-Ur-Rahman, Jamjoom AH, Jamjoom ZA (1996) Growing skull fractures: surgical management of difficult and atypical cases. Acta Neurochir (Wien) 138:1088–1093CrossRef Naim-Ur-Rahman, Jamjoom AH, Jamjoom ZA (1996) Growing skull fractures: surgical management of difficult and atypical cases. Acta Neurochir (Wien) 138:1088–1093CrossRef
12.
go back to reference Opperman LA, Passarelli RW, Morgan EP, Reintjes M, Ogle RC (1995) Cranial sutures require tissue interactions with dura mater to resist osseous obliteration in vitro. J Bone Miner Res 10:1978–1987PubMedCrossRef Opperman LA, Passarelli RW, Morgan EP, Reintjes M, Ogle RC (1995) Cranial sutures require tissue interactions with dura mater to resist osseous obliteration in vitro. J Bone Miner Res 10:1978–1987PubMedCrossRef
13.
go back to reference Tandon PN, Banerji AK, Bhatia R, Goulatia RK (1987) Craniocerebral erosion (growing fracture of the skull in children). Part II. Clinical and radiological observations. Acta Neurochir (Wien) 88:1–9CrossRef Tandon PN, Banerji AK, Bhatia R, Goulatia RK (1987) Craniocerebral erosion (growing fracture of the skull in children). Part II. Clinical and radiological observations. Acta Neurochir (Wien) 88:1–9CrossRef
14.
go back to reference Yu JC, McClintock JS, Gannon F, Gao XX, Mobasser JP, Sharawy M (1997) Regional differences of dura osteoinduction: Squamous dura induces osteogenesis, sutural dura induces chondrogenesis and osteogenesis. Plast Reconstr Surg 100:23–31PubMedCrossRef Yu JC, McClintock JS, Gannon F, Gao XX, Mobasser JP, Sharawy M (1997) Regional differences of dura osteoinduction: Squamous dura induces osteogenesis, sutural dura induces chondrogenesis and osteogenesis. Plast Reconstr Surg 100:23–31PubMedCrossRef
Metadata
Title
Operative management of growing skull fractures: a technical note
Authors
Ashutosh Singhal
Paul Steinbok
Publication date
01-05-2008
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 5/2008
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-007-0552-x

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