Turkish Neurosurgery
Early and Effective Surgical Treatment of Ossified Cephalohematoma Using a Simple Technique
Nuri Serdar Baş1, Akın Öztürk1, Abdurrahim Tekin1, Engin Can 1, Evren Sönmez1, Lokman Ayhan1, Suna Dilbaz1, Idil Baş2, Serdar Çevik1
1İstanbul Kanuni Sultan Süleyman Training and Education Hospital, Neurosurgery, Küçükçekmece,
2Vita-Salute San Raffaele University, Faculty of Medicine, Milan,
DOI: 10.5137/1019-5149.JTN.49815-25.2

Aim:Cephalohematoma is an accumulation of blood in the subperiosteal space. It usually resolves spontaneously. Rarely does it not resorb, and ossification occurs. Ossified cephalic hematoma (OCH) can cause severe calvarial swelling, asymmetry, cosmetic deformity, and compression of the brain. This sometimes necessitates surgical intervention. In this article, a series of 10 cases successfully treated with early surgery using the “simple excision technique” are retrospectively analyzed and discussed in the light of the literature.Material and Methods:Ten OCHs who underwent surgery were included in the study. Age, gender, mode of delivery (normal vaginal delivery or sectio, vacuum or forceps), hematologic disease, bleeding diathesis, presence of comorbidities or anomalies, localization, size, duration of operation and anesthesia, amount of blood loss, need for transfusion, presence of complications, neurologic examination, presence of additional pathology, classification type, hospital stay, and postoperative follow-up periods were recorded.Results:The mean age of the 10 infants was 3.7 months, and the M/F ratio was 9/1. OCH was located in the occipital region in one patient, the parietal region in eight patients, and the bilateral parietal region in one baby girl. OCH sizes ranged from 37 and 90mm. Operative times ranged from 40-80 minutes. Anesthesia durations were between 70-120 minutes. The mean surgical blood loss was 30 cc. Patients were discharged after an average of 2 days. All patients were Type 1 according to Wang\'s classification. The follow-up period ranged from 1-66 months.Conclusion:In the presence of cephalohematoma, close monitoring should be performed first. If OCH develops, early neurosurgical intervention should be planned. Early surgical treatment of OCH is a simple, safe, and effective procedure with a short operation time and little blood loss; it is easier and provides excellent results without the need for complex surgical procedures. Therefore, early surgical treatment should be offered to OCH patients

Corresponding author : Nuri Serdar Baş