Management of depressed skull fractures in infants

Abstract

The authors of two papers reported four cases of depressed skull fractures in infants and their treatment. Three cases were newborns and one was a three-month-old baby. The three cases of newborns with depressed skull fractures were all caused by forceps during difficult delivery, while the three-month-old baby's skull with depressed fractures was caused by the head hitting the corner of the drawer. The depressed parts were: one case each on the right forehead, right parietal, right temporal parietal, and left parietal. The depression can be seen or touched and confirmed by x-ray examination. None of the 4 cases had limb paralysis, nor did they require surgical treatment. All of them reset spontaneously. In one case, the baby cried, and the depressed fracture reset itself four hours after the injury; in the other three cases, within one day each. Reviews within three months and two and a half years later found that the depressed fracture had reset itself. Post-reduction physical examination and x-ray