Perinatology.  2019 Jun;30(2):105-109. 10.14734/PN.2019.30.2.105.

Obstetrical Vacuum Extraction for Ping-Pong Fracture of Newborn

• Min BH
• Cho YJ
• Yoon SH
• Shim GH
• Kim M
• Ko JK
• Lee C
• Cho YK
• Choi H

• KMID: 2453046
• DOI: http://doi.org/10.14734/PN.2019.30.2.105

Abstract

Depressed skull fracture is an inward buckling of the skull bones. It is referred to as a ping-pong fracture in neonates. It is usually not associated with significant neurological injury. However cosmetic concerns persist. Obstetrical vacuum extractor is a less invasive procedure than other treatment modalities. The vacuum extraction is especially warranted for the obstetricians, because the ping-pong fractures are mainly found immediately after birth. We describe cases of ping-pong fracture successfully treated by obstetrical vacuum extractor with review of literature.

Keyword

Skull fracture; depressed; Infant; newborn; Vacuum

MeSH Terms

Humans
Infant
Infant, Newborn*
Parturition
Skull
Skull Fracture, Depressed
Skull Fractures
Vacuum
Vacuum Extraction, Obstetrical*

Figure

• 

  Fig. 1 Skull depression in the right frontal region (arrows). (A) Gross, (B) skull X-ray, (C) computed tomograph. Immediately following the procedure. (D) Gross, (E) skull X-ray, (F) computed tomography.

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  Fig. 2 (A) Vacuum cups and Vacuum extractors. (B) Button type, (C) channel type.

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