title: Vacuum extraction as a treatment modality of neonatal skull depression in a twin infant.
abstract: The management of depressed skull fractures in the newborn infant can be controversial. In this article, we report a case of twin pregnancy wherein one of the fetuses had depressed skull fractures that was not associated with any known trauma during the pregnancy or at delivery. This ping-pong skull depression was treated by elevation with an obstetrical vacuum extractor. No complications occurred. The possible etiologies and treatment modalities for neonatal depressed fractures, being conservative or operative, are discussed.
authors.affiliation: Department of Pediatrics, Neonatal Intensive Care Unit, Al-Hada Military Hospital, PO Box 1347, Taif, Kingdom of Saudi Arabia. adnamn@gmail.com
authors.forename: Adnan A
authors.initials: AA
authors.lastname: Amin
authors.forename: Alaauddin M
authors.initials: AM
authors.lastname: Al-Zeky
authors.forename: Mowaffak
authors.initials: M
authors.lastname: El-Azm
mesh_terms: D004200:Diseases in Twins; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D012887:Skull Fractures / Q000151:congenital* / Q000628:therapy*; D014620:Vacuum Extraction, Obstetrical / Q000295:instrumentation*