Growing skull fractures: Guidelines for early diagnosis and effective operative management

Reddy, D. Sridhar

doi:10.4103/0028-3886.121907

Cited by 17 publications

(16 citation statements)

References 5 publications

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“…6). However, most authors advocate cranioplasty along with water-tight dural repair in cases of wider defects [2,3,10]. Autologous bone (either split calvarial graft or rib autograft) is the ideal one for cranioplasty but it may not be feasible in all cases for which other options include PMMA cement or titanium mesh [3,36].…”

Section: Discussionmentioning

confidence: 98%

“…Fracture of the skull with underlying dural/arachnoid tear is said to be a prerequisite for their development [9]. If left untreated, they can manifest as focal neurological deficits or seizures [2,3,6,10]. Surgical repair is the treatment of choice, although in early reports one could find literature related to conservative management [2,3,6,11].…”

Section: Introductionmentioning

confidence: 98%

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Surgical results of growing skull fractures in children: a single centre study of 43 cases

et al. 2014

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Being the second largest series to date, it adds significant valuable contribution to this topic. Poor prognostic factors were age >8 years, females, large defects (>7 cm), severe head injury at initial trauma, defects crossing midline and delayed repair (>8 months). Delayed onset seizures and new onset/progression of pre-existing deficits can be indirect markers of evolution. Surgical repair with water-tight dural closure is the standard treatment. Emphasis on early treatment is highlighted which is probably beneficial in improving neurological deficits. Good-to-excellent outcomes are noted in majority, even in cases with delayed presentations.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 98%

Surgical results of growing skull fractures in children: a single centre study of 43 cases

et al. 2014

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“…Orbitocranial GSF usually presents as forehead swelling with ipsilateral proptosis and facial deformity. Diplopia, squint, and enophthalmos have also been reported [2,[13][14][15] . The potential visual and cosmetic complications, and risk of CSF rhinorrhea through communications with the ethmoid sinus set it apart from other GSFs.…”

Section: Discussionmentioning

confidence: 99%

“…As per current understanding, surgery is recommended in all cases and involves dural repair with or without cranioplasty [2,4,5,7] . Early surgical intervention is considered to yield good cosmetic results, irrespective of the location of the lesion [2,7,13] . Delay in intervention in case of GSF can result in seizures and focal neurological deficits [2][3][4][5] .…”

Section: Introductionmentioning

confidence: 99%

Growing Skull Fracture and the Orbitocranial Variant: Nuances of Surgical Management

et al. 2017

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Aims: Growing skull fracture (GSF) is a rare complication resulting from diastatic enlargement of a pediatric skull fracture. Orbitocranial GSF is a distinct variant with more complex management issues due to the displacement of the globe. This study aims to discuss surgical considerations in the management of GSF, with particular reference to orbitocranial variants. Methods: We conducted a retrospective analysis of 7 children operated for GSFs at our institute from 2008 to 2015. Results: Four boys and 3 girls were operated during this period. The mean age at initial trauma was 2 years, and most of them sustained falls. The most frequent symptoms of GSF were progressive scalp swelling and proptosis. The most common location was the orbitofrontal region. Duraplasty with cranioplasty was performed in 5 patients, while duraplasty alone was only required in 2 patients. A postoperative complication was noted in 1 patient and managed successfully. Good cosmetic results were obtained in all of the cases. Conclusions: Duraplasty is essential in the repair of GSF and should be followed by cranioplasty to prevent recurrent leptomeningeal herniation. We recommend the use of autologous bone from the surgical site for cranioplasty. Orbital roof repair is advisable for good visual and cosmetic outcome in orbitocranial variants of GSF.

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“…The etiopathologies of GSF have not been fully understood. Posttraumatic skull defect diastasis may occur because of arachnoid herniation of dural tears and cerebrospinal fluid (CSF) leakage from the fracture line (4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

Growing Skull Fracture in an İnfant: A Case Report

Akpinar¹,

Dinçbal²,

Kılınç³

2018

Haseki

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Growing skull fractures: Guidelines for early diagnosis and effective operative management

Cited by 17 publications

References 5 publications

Surgical results of growing skull fractures in children: a single centre study of 43 cases

Surgical results of growing skull fractures in children: a single centre study of 43 cases

Growing Skull Fracture and the Orbitocranial Variant: Nuances of Surgical Management

Growing Skull Fracture in an İnfant: A Case Report

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