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Child's Nervous System

, Volume 24, Issue 5, pp 605–607 | Cite as

Operative management of growing skull fractures: a technical note

  • Ashutosh SinghalEmail author
  • Paul Steinbok
Technical Note

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.

Keywords

Growing skull fracture Leptomeningeal cyst Head injury Surgical treatment 

References

  1. 1.
    Ersahin Y, Gulmen V, Palali I, Mutluer S (2000) Growing skull fractures (craniocerebral erosion). Neurosurg Rev 23:139–144PubMedCrossRefGoogle Scholar
  2. 2.
    Greenwald JA, Mehrara B, Spector JA et al (2000) Biomolecular mechanisms of calvarial bone induction: immature versus mature dura mater. Plast Reconstr Surg 105:1382–1392PubMedCrossRefGoogle Scholar
  3. 3.
    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) 139:928–932CrossRefGoogle Scholar
  4. 4.
    Guzel MZ, Yildirim AM, Yucel A, Seradjmir M, Dervisoglu S (1995) Osteogenic potential of infant dural grafts in different recipient beds. J Craniofac Surg 6:489–493PubMedCrossRefGoogle Scholar
  5. 5.
    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 92:405–410PubMedCrossRefGoogle Scholar
  6. 6.
    Hobar PC, Masson JA, Wilson R, Zerwekh J (1996) The importance of the dura in craniofacial surgery. Plast Reconstr Surg 98:217–275PubMedCrossRefGoogle Scholar
  7. 7.
    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 23:139–144Google Scholar
  8. 8.
    Johnson DL, Helman T (1995) Enlarging skull fractures in children. Childs Nerv Syst 11:265–268PubMedCrossRefGoogle Scholar
  9. 9.
    Mulhonen MG, Piper JG, Menezes AH (1995) Pathogenesis and treatment of growing skull fractures. Surg Neurol 43:367–373CrossRefGoogle Scholar
  10. 10.
    Naim-Ur-Rahman, Jamjoom Z, Jamjoom A, Murshid WR (1994) Growing skull fractures: classification and management. Br J Neurosurg 8:667–679PubMedCrossRefGoogle Scholar
  11. 11.
    Naim-Ur-Rahman, Jamjoom AH, Jamjoom ZA (1996) Growing skull fractures: surgical management of difficult and atypical cases. Acta Neurochir (Wien) 138:1088–1093CrossRefGoogle Scholar
  12. 12.
    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 10:1978–1987PubMedCrossRefGoogle Scholar
  13. 13.
    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) 88:1–9CrossRefGoogle Scholar
  14. 14.
    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 100:23–31PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  1. 1.Division of Neurosurgery, Department of Pediatric SurgeryBritish Columbia Children’s Hospital, University of British ColumbiaVancouverCanada
  2. 2.Department of SurgeryUniversity of British ColumbiaVancouverCanada

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