SavedAdd your journal

Journals / Turkish Neurosurgery / 2018 / Cilt: 28 - Sayı: 6

New Entity of Skull Lesions due to Birth Trauma: Kanat (Wing) Fractures

Ali GEMİCİ
Ayşegül ALKILIÇ
Pinar GULERYUZ
Selçuk TUNALI
Betül ORHAN KILIÇ
Pınar ÖZIŞIK
Pages
940–948
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Designing clinical and experimental researches to enhance awareness and acknowledgement ofskull injuries and labor process could improve the clinical outcome of the newborns.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:AIM: To discuss a special type of skull lesion detected after delivery.
📊
Key Findings & Data:We reviewed our experience on scalp swelling in term neonatesto further investigate the relationship between cranial injuries and labor process.MATERIAL and METHODS: A total of 55 newborns with scalp swellings were assessed with medical records retrospectivelybetween January 2007-July 2017.
💡
Conclusion & Impact:Designing clinical and experimental researches to enhance awareness and acknowledgement ofskull injuries and labor process could improve the clinical outcome of the newborns.
🔬Design:Review & Systematic Survey
📍Scope:2007 Verileri
⚙️Variables:Domain Parameters

Özet

AIM: To discuss a special type of skull lesion detected after delivery. We reviewed our experience on scalp swelling in term neonatesto further investigate the relationship between cranial injuries and labor process.MATERIAL and METHODS: A total of 55 newborns with scalp swellings were assessed with medical records retrospectivelybetween January 2007-July 2017. A radiologist and a pediatric neurosurgeon re-analyzed all skull X-ray images via picture archivingand communication system of the hospital.RESULTS: A special type of skull fracture, called Kanat (wing) fracture, was detected. The fractures appeared unique, were locatedin the midline parietal bone, and were difficult to detect by X-ray. Kanat fractures accounted for 12.7% of the 55 cases (n=7).Patients without (group-1) and patients with (group-2) Kanat fractures were compared based on the head circumference of thenewborns (p=0.881), fetal birth weight (p=0.20), maternal age (p=0.04), duration of second stage of labor (p=0.217), maternal bodymass index (p=0.278), total labor time (p=0.922) and parity (p=0.375). No statistically significant difference between the two groupswas determined for the compared parameters.CONCLUSION: The present study is the first research describing and discussing the possible effects of maternal, fetal and deliverycharacteristics on Kanat fractures. Designing clinical and experimental researches to enhance awareness and acknowledgement ofskull injuries and labor process could improve the clinical outcome of the newborns.

🔖

Cite This Article

GEMİCİ, A., ALKILIÇ, A., GULERYUZ, P., TUNALI, S., KILIÇ, B. O., ÖZIŞIK, P. (2018). New Entity of Skull Lesions due to Birth Trauma: Kanat (Wing) Fractures. Turkish Neurosurgery, Cilt: 28 - Sayı: 6, 940–948. https://ajindex.com/articles/404460

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Alexander JM, Leveno KJ, Hauth J, Landon MB, Thom E, Spong CY, Varner MW, Moawad AH, Caritis SN, Harper M, Wapner RJ, Sorokin Y, Miodovnik M, O’Sullivan MJ, Sibai BM, Langer O, Gabbe SG; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Fetal injury associated with cesarean delivery. Obstet Gynecol 108: 885-890, 2006
  2. Bhat BV, Kumar A, Oumachigui A: Bone injuries during delivery. Indian J Pediatr 61: 401-405, 1994 Bode-Jänisch S, Bültmann E, Hartmann H, Schroeder G, Zajaczek JE, Debertin AS: Serious head injury in young children: Birth trauma versus non-accidental head injury. Forensic Sci Int 10: 34-38, 2012
  3. Bowman R, Tomita T: Birth head trauma. In: Youmans JR (ed), Neurological Surgery. Philadelphia: WB Saunders, 2009: 3481-3487
  4. Brenner D, Elliston C, Hall E, Berdon W: Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR Am J Roentgenol 176: 289-296, 2001
  5. Brenner DJ, Hall EJ: Computed tomography-an increasing source of radiation exposure. N Engl J Med 357: 2277-2284, 2007
  6. Browning JG, Reed MJ, Wilkinson AG, Beattie T: Imaging infants with head injury: Effect of a change in policy. Emerg Med J 22: 33-36, 2005
  7. Bruce DA, Schut L, Sutton LN: Cephalhematoma and subgaleal hematoma. In: Wilkins RH, Renganchary SS (eds), Neurosurgery. 2nd ed. New York: McGraw-Hill, 1985:1622– 1623 Cho SM, Kim HG, Yoon SH, Chang KH, Park MS, Park YH, Choi MS: Reappraisal of neonatal greenstick skull fractures caused by birth injuries: Comparison of 3-dimensional reconstructed computed tomography and simple skull radiographs. World Neurosurg 109:e305-e312, 2018
  8. Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Gilstrap JC, Wenstrom KD: Diseases and injuries of the fetus and newborn: Williams obstetrics. 22nd ed. Boston: McGraw-Hill, 2005 Ekéus C, Högberg U, Norman M: Vacuum assisted birth and risk for cerebral complications in term newborn infants: A population-based cohort study. BMC Pregnancy Childbirth 14: 36, 2014
  9. Ghidini A, Stewart D, Pezzullo JC, Locatelli A: Neonatal complications in vacuum-assisted vaginal delivery: Are they associated with number of pulls, cup detachments, and duration of vacuum application? Arch Gynecol Obstet 295: 67-73, 2017
  10. Gogos KA, Yakoumakis EN, Tsalafoutas IA, Makri TK: Radiation dose considerations in common pediatric X-ray examinations. Pediatr Radiol 33: 236-240, 2003
  11. Greenes DS, Schutzman SA: Clinical indicators of intracranial injury in head-injured infants. Pediatrics 104:861-867,