New entity of skull lesions due to birth trauma: kanat (wing) fractures
| Autor: | Ali Gemici, Aysegul Alkilic, Selcuk Tunali, Pinar Guleryuz, Betul Orhan Kilic, Pinar Ozisik |
|---|---|
| Přispěvatelé: | TOBB ETÜ, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, TOBB ETÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, TOBB ETU, Faculty of Medicine, Department of Basic Medical Sciences, TOBB ETU, Faculty of Medicine, Department of Surgical Sciences, Tunalı, Selçuk |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Birth trauma Birth weight Assisted delivery Cephalhematoma Skull fracture 03 medical and health sciences 0302 clinical medicine Pregnancy Birth Injuries Skull X-ray medicine Humans Scalp swelling Retrospective Studies 030219 obstetrics & reproductive medicine Skull Fractures business.industry Medical record Infant Newborn medicine.disease Surgery Skull medicine.anatomical_structure Scalp Female Neurology (clinical) Neurosurgery Tomography X-Ray Computed business Parietal bone 030217 neurology & neurosurgery |
| Zdroj: | Turkish Neurosurgery. |
| ISSN: | 1019-5149 |
| DOI: | 10.5137/1019-5149.jtn.22260-17.2 |
| Popis: | AIM: To discuss a special type of skull lesion detected after delivery. We reviewed our experience on scalp swelling in term neonates to further investigate the relationship between cranial injuries and labor process. MATERIAL and METHODS: A total of 55 newborns with scalp swellings were assessed with medical records retrospectively between January 2007-July 2017. A radiologist and a pediatric neurosurgeon re-analyzed all skull X-ray images via picture archiving and communication system of the hospital. RESULTS: A special type of skull fracture, called Kanat (wing) fracture, was detected. The fractures appeared unique, were located in the midline parietal bone, and were difficult to detect by X-ray. Kanat fractures accounted for 12.7% of the 55 cases (n=7). Patients without (group-1) and patients with (group-2) Kanat fractures were compared based on the head circumference of the newborns (p=0.881), fetal birth weight (p=0.20), maternal age (p=0.04), duration of second stage of labor (p=0.217), maternal body mass index (p=0.278), total labor time (p=0.922) and parity (p=0.375). No statistically significant difference between the two groups was determined for the compared parameters. CONCLUSION: The present study is the first research describing and discussing the possible effects of maternal, fetal and delivery characteristics on Kanat fractures. Designing clinical and experimental researches to enhance awareness and acknowledgement of skull injuries and labor process could improve the clinical outcome of the newborns. |
| Databáze: | OpenAIRE |
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