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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2021; 40(03): e263-e267
DOI: 10.1055/s-0040-1718423
Case Report | Relato de Caso

Use of Vacuum-suction in Depressed Skull Fractures – Case Report and Technical Nuances of Nonoperative Treatment

Uso da vácuo-sucção nas fraturas em afundamento – Relato de caso e aspectos técnicos do tratamento não-operatório
Rodrigo Moreira Faleiro 
1   Department of Neurosurgery, Hospital Felício Rocho e Hospital de Pronto-Socorro João XXIII , Belo Horizonte, MG, Brazil
,
Sérgio Cavalheiro 
2   Department of Neurosurgery, Universidade Federal de São Paulo, São Paulo, SP, Brazil
3   Department of Neurosurgery, Faculdade Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil
,
João Tiago Alves Belo 
1   Department of Neurosurgery, Hospital Felício Rocho e Hospital de Pronto-Socorro João XXIII , Belo Horizonte, MG, Brazil
,
Vítor Vieira de Souza Moraes 
1   Department of Neurosurgery, Hospital Felício Rocho e Hospital de Pronto-Socorro João XXIII , Belo Horizonte, MG, Brazil
,
Aieska Kellen Dantas dos Santos 
1   Department of Neurosurgery, Hospital Felício Rocho e Hospital de Pronto-Socorro João XXIII , Belo Horizonte, MG, Brazil
,
Ellano de Brito Pontes 
1   Department of Neurosurgery, Hospital Felício Rocho e Hospital de Pronto-Socorro João XXIII , Belo Horizonte, MG, Brazil
,
Rodrigo de Oliveira Teixeira 
4   Department of Nuclear Engineering, Instituto Militar de Engenharia, Rio de Janeiro, RJ, Brazil
,
Aretha Miranda Silva 
3   Department of Neurosurgery, Faculdade Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil
,
Nathalia Lacerda Eller Costa 
3   Department of Neurosurgery, Faculdade Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil
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Abstract

Up to 20% of victims from skull fractures are represented by the pediatric population, and 50% of these lesions are depressed skull fractures. The treatment is multimodal in nature, ranging from conservative treatment to open surgical repair. The last one is associated, although in a small proportion, to complications, such as infections, hematomas and even death, besides the risks of the anesthetic procedure itself. The authors of the present article present a case report of the successful treatment of a depressed skull fracture in a newborn patient, using the vacuum-suction technique. The use of vacuum-suction may be beneficial for the pediatric patients, as it is a quick, non-invasive procedure, without the need for general anesthesia.

Resumo

Até 20% das vítimas de fraturas de crânio são representadas pela população pediátrica, e 50% dessas lesões são fraturas em afundamento. O tratamento é multimodal, que vai desde o conservador até a correção cirúrgica aberta da falha óssea. O último é associado, embora em uma pequena proporção, a complicações como infecções, hematomas e até mesmo óbito, além dos riscos inerentes ao procedimento anestésico por si só. Os autores do presente artigo apresentam um relato de caso do tratamento bem sucedido de uma fratura em afundamento em um paciente recém-nascido, com o uso da técnica de vácuo-sucção. O uso da técnica de vácuo-sucção pode ser benéfico para os pacientes pediátricos pelo fato de ser um procedimento rápido, não invasivo e sem necessidade do uso de anestesia geral.

Keywords

neurosurgery - pediatric neurosurgery - skull fractures - depressed skull fractures - vacuum-suction

Palavras chave

neurocirurgia - neurocirurgia pediátrica - fratura craniana - fratura em afundamento - vácuo sucção


Publication History

Received: 22 April 2020

Accepted: 05 August 2020

Article published online:
16 October 2020

© 2020. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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