title: Depressed skull fracture in Ping Pong: elevation with Medeva extractor.
abstract: BACKGROUND
  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.
  
  
  METHODS
  A breast milk extractor trade mark "MEDEVA" was used for the procedure in newborns with a depression larger than 2 cm 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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  Finally, it has been demonstrated that this procedure is simple, inexpensive, and avoids surgical intervention.
authors.affiliation: Department of Pediatric Neurosurgery, Juan Manuel Márquez Pediatric Hospital, Avenida 31 Esquina 76, Marianao, La Habana 11300, Cuba. leyvamas@infomed.sld.cu
authors.forename: Tania Leyva
authors.initials: TL
authors.lastname: Mastrapa
authors.forename: Luis Alonso
authors.initials: LA
authors.lastname: Fernandez
authors.forename: Manuel Diaz
authors.initials: MD
authors.lastname: Alvarez
authors.forename: Bruce B
authors.initials: BB
authors.lastname: Storrs
authors.forename: Azucena
authors.initials: A
authors.lastname: Flores-Urueta
mesh_terms: D004864:Equipment and Supplies; D006801:Humans; D007223:Infant; D020204:Skull Fracture, Depressed / Q000628:therapy*; D013396:Suction / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome