caa a22 4500 463179641 CHVBK 20180406164835.0 cr unu---uuuuu 170326e20070701xx s 000 0 eng 10.1007/s00381-007-0354-1 doi (NATIONALLICENCE)springer-10.1007/s00381-007-0354-1 Depressed skull fracture in Ping Pong: elevation with Medeva extractor [Elektronische Daten] [Tania Mastrapa, Luis Fernandez, Manuel Alvarez, Bruce Storrs, Azucena Flores-Urueta] Introduction: The bones of the skull of the newborn and nursing infants, in general, possess great malleability. For this reason, the depressed fractures occurring at this age are called "Ping Pong” or "Green Stick” fractures. The treatment of these fractures is surgical according to different authors, although some of these fractures that happen in childbirth can elevate themselves spontaneously. Technique: A breast milk extractor trade mark "MEDEVA” was used for the procedure in newborns with a depression larger than 2cm in diameter. Minimal aspiration was performed while observing the elevation through the transparent breast milk extractor MEDEVA until the depression elevated without leaving any trace. Discussion: The aspiration procedure was satisfactory and curative in the five children treated. The fracture was successfully elevated and the skull returned to its normal position and configuration without complications for the patients. Conclusion: Finally, it has been demonstrated that this procedure is simple, inexpensive, and avoids surgical intervention. Springer-Verlag, 2007 Depressed skull fracture nationallicence Newborns nationallicence Fractures in Ping Pong nationallicence Mastrapa Tania Department of Pediatric Neurosurgery, "Juan Manuel Márquez” Pediatric Hospital, Avenida 31 Esquina 76, 11300, Marianao, La Habana, Cuba aut Fernandez Luis Department of Pediatric Neurosurgery, "Juan Manuel Márquez” Pediatric Hospital, Avenida 31 Esquina 76, 11300, Marianao, La Habana, Cuba aut Alvarez Manuel Department of Neonatology, "Juan Manuel Márquez” Pediatric Hospital, Avenida 31 Esquina 76, Marianao, La Habana, Cuba aut Storrs Bruce University of South Florida, Tampa, FL, USA aut Flores-Urueta Azucena Pediatric Neurosurgery Associates, 880 6th St. South, 33701, St. Petersburg, FL, USA aut Child's Nervous System Springer-Verlag 23/7(2007-07-01), 787-790 0256-7040 23:7<787 2007 23 381 https://doi.org/10.1007/s00381-007-0354-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0354-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mastrapa Tania Department of Pediatric Neurosurgery, "Juan Manuel Márquez” Pediatric Hospital, Avenida 31 Esquina 76, 11300, Marianao, La Habana, Cuba aut NATIONALLICENCE 700 1- Fernandez Luis Department of Pediatric Neurosurgery, "Juan Manuel Márquez” Pediatric Hospital, Avenida 31 Esquina 76, 11300, Marianao, La Habana, Cuba aut NATIONALLICENCE 700 1- Alvarez Manuel Department of Neonatology, "Juan Manuel Márquez” Pediatric Hospital, Avenida 31 Esquina 76, Marianao, La Habana, Cuba aut NATIONALLICENCE 700 1- Storrs Bruce University of South Florida, Tampa, FL, USA aut NATIONALLICENCE 700 1- Flores-Urueta Azucena Pediatric Neurosurgery Associates, 880 6th St. South, 33701, St. Petersburg, FL, USA aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/7(2007-07-01), 787-790 0256-7040 23:7<787 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer