Simple excision and periosteal reattachment for the treatment of calcified cephalhematoma. Technical note.
Until now, calcified cephalhematoma has been treated by excision of the lesion and the use of an onlay autograft. The authors report their use of a less complicated alternative, simple excision and periosteal reattachment, in a 3-month-old male infant. They excised the calcified cap of cephalhematoma and reattached the periosteum to the exposed bone surface instead of using an onlay autograft technique. A follow-up CT scan demonstrated a smooth skull contour and good cosmetic appearance. The authors note that this is the first report of the successful use of simple excision and periosteal reattachment for the treatment of a case of calcified cephalhematoma in which there was a depressed area after the calcified cap was removed. They conclude that in cases of calcified cephalhematoma it may be unnecessary to perform a complicated cranioplasty with bone harvested from the top of the calcification.
Jang
Dong Gyu
DG
Department of Neurosurgery, The Catholic University of Korea College of Medicine, Uijeongbu St. Mary's Hospital, Uijeongbu, Korea.
Kang
Seok-Gu
SG
Lee
Sang Bok
SB
Yoo
Do-Sung
DS
Huh
Pil-Woo
PW
Cho
Kyoung-Souk
KS
Kim
Dal-Soo
DS
Park
Chun Kun
CK
Kang
Joon Ki
JK
D001847:Bone Diseases / Q000601:surgery*; D002114:Calcinosis / Q000601:surgery*; D003399:Craniotomy / Q000295:instrumentation / Q000379:methods; D005500:Follow-Up Studies; D006406:Hematoma / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D010294:Parietal Bone / Q000601:surgery*; D010521:Periosteum / Q000601:surgery*; D014057:Tomography, X-Ray Computed