Successful minimally invasive reduction surgery with a micro burr hole in a pediatric patient with depressed skull fracture: a case report

A 5-year-old female pediatric patient with head trauma was transferred to our regional trauma center. A depressed skull fracture measuring 45 mm in diameter and 6 mm in depth was diagnosed using a 3-dimensional (3D) computed tomography (CT) scan. Despite the absence of significant neurological sympt...

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Bibliographic Details
Published inDaehan oe'sang haghoeji
Main Authors Yu, Seung Han, Choi, Hyuk Jin, Kim, Byung Chul, Ha, Mahn Jeong
Format Journal Article
LanguageEnglish
Published Korea (South) 25.06.2025
Subjects
Case reports
Skull fractures
Craniocerebral trauma
Child
Depressed skull fracture
Online AccessGet more information
ISSN2287-1683
DOI10.20408/jti.2025.0015

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Summary:A 5-year-old female pediatric patient with head trauma was transferred to our regional trauma center. A depressed skull fracture measuring 45 mm in diameter and 6 mm in depth was diagnosed using a 3-dimensional (3D) computed tomography (CT) scan. Despite the absence of significant neurological symptoms, the extent of the depression necessitated surgical intervention on the third day of hospitalization. Using a 2 mm micro burr, two holes were drilled at strategically selected points of the fracture identified by 3D CT. Adson blunt dissecting hooks were inserted through the burr holes to elevate and reduce the fracture. Postoperative CT scans, including a follow-up scan on the 36th day, demonstrated stable reduction. The minimally invasive technique applied for pediatric depressed skull fracture reduction may significantly reduce pain, shorten recovery time, and decrease hospitalization duration, yielding favorable outcomes.
ISSN:2287-1683
DOI:10.20408/jti.2025.0015