Surgery steps for neonatal skull depression

The newborn's skull is sunken, which worries many parents. In this case, many parents will consider having their children improve their condition through surgery as soon as possible. So what are the surgical steps for a newborn's sunken skull? In order for many parents to have a comprehensive understanding, the following content provides a detailed answer, and you can continue to learn more about it.

There are two methods of reduction: 1. free bone flap reduction; 2. prying up depressed fracture fragments for reduction.

1. Free bone flap repair

① Make a horseshoe-shaped skin flap around the edge of the depressed fracture. ② Drill 4 bone holes around the depressed fracture, saw between the holes, and retain the periosteum on the surface of the bone flap. ③ Peel off the outer dura mater and the inner skull plate and remove the entire bone flap. ④ Use hands or other surgical instruments to reduce the depressed fracture. ⑤ Check whether the dura mater is intact and whether there is hematoma or brain contusion under the dura mater. If the dura mater has been torn and the bone fragments have penetrated into the brain, small bone fragments should be removed, and the blood and crushed brain tissue underneath should be cleaned up. After strict hemostasis, the dura mater should be sutured. ⑥ Reposition the restored free bone flap, suture the cut periosteum, and finally suture the various layers of the scalp layer by layer.

2. Pry up the depressed fracture fragments and restore them

①Same scalp incision as free bone flap reduction. ② Make a drill hole in the normal skull near the fracture edge and bite off some overlapping bone along the fracture edge. ③After peeling off the dura mater below the depressed fracture, pry up the fracture fragments and reduce them. Reset it. ④Suture the scalp.

Points to note during surgery

1. Small bone fragments that have been detached from the periosteum in depressed fractures should be removed.

2. If the dura mater is not torn, but turns purple, has high tension and no brain pulsation, the dura mater should be incised to check for subdural and intracerebral hematomas.

3. If the repositioned fracture flap is unstable and prone to sinking, it can be fixed to the surrounding normal skull with silk thread or steel wire.

4. Try to use suspension suture instead of extradural drainage to prevent infection.

The above content has fully introduced the surgical steps for neonatal skull depression. I believe that many parents have fully understood the surgical steps for neonatal skull depression. Therefore, after fully understanding, in order to ensure a higher success rate for their children's skull depression surgery, they must choose a regular large hospital and perform surgery to ensure the safety of their children.