Mastrapa Tania Leyva, Fernandez Luis Alonso, Alvarez Manuel Diaz, Storrs Bruce B, Flores-Urueta Azucena
Department of Pediatric Neurosurgery, Juan Manuel Márquez Pediatric Hospital, Avenida 31 Esquina 76, Marianao, La Habana 11300, Cuba.
Childs Nerv Syst. 2007 Jul;23(7):787-90. doi: 10.1007/s00381-007-0354-1. Epub 2007 May 8.
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.
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.
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.
Finally, it has been demonstrated that this procedure is simple, inexpensive, and avoids surgical intervention.
一般来说，新生儿和哺乳期婴儿的颅骨具有很大的可塑性。因此，这个年龄段发生的凹陷性骨折被称为“乒乓球”或“青枝”骨折。根据不同作者的观点，这些骨折的治疗方法是手术治疗，尽管其中一些发生在分娩时的骨折可以自行复位。
对于直径大于2厘米的新生儿凹陷性骨折，使用商标为“MEDEVA”的吸奶器进行该操作。在通过透明的MEDEVA吸奶器观察骨折复位的同时进行最小程度的抽吸，直到凹陷完全复位且不留任何痕迹。
在接受治疗的5名儿童中，抽吸操作令人满意且具有治愈效果。骨折成功复位，颅骨恢复到正常位置和形态，患者未出现并发症。
最后，已证明该操作简单、成本低且避免了手术干预。
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