Turkish Neurosurgery
New entity of skull lesions due to birth trauma: Kanat (wing) fractures
Ali Gemici1, Aysegul Alkilic1, Pinar Guleryuz2, Selcuk Tunali3, Betul Orhan Kilic4, Pınar Ozısık5
1TOBB University of Economics and Technology, Department of Obstetrics&Gynaecology, Ankara,
2TOBB University of Economics and Technology, Department of Radiology, Ankara,
3TOBB University of Economics and Technology, Department of Anatomy, Ankara,
4TOBB University of Economics and Technology, Department of Pediatrics, Ankara,
5TOBB University of Economics and Technology, Department of Neurosurgery, Ankara,
DOI: 10.5137/1019-5149.JTN.22260-17.2
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 labour 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 reanalyzed all skull X-ray images via picture archiving and communication system of the hospitalResults: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 account for 12,7 % of 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), foetal birth weight (p = 0,20), maternal age (p = 0,04), duration of second stage of labour (p = 0,217), maternal body mass index (p = 0,278), total labour time (p = 0,922 ) and parity (p = 0,375). No statistically significant difference between two groups was determined for the compared parameters. Conclusion:The present study is the first research describing and discussing the possible effects of maternal, foetal and delivery characteristics on Kanat fractures. Designing clinical and experimental researches to enhance awareness and acknowledgement of skull injuries and labour process could improve clinical outcome of the newborns.
Corresponding author : Ali Gemici