A fracture of the skull may be open (exposed through the skin) or closed, and may be indented (“displaced fracture”) or non-displaced. Trauma is the cause of most fractures, and they are treated by washing out and cleaning the skin for open fractures, whereas for depressed fractures these can be corrected by “elevating the fracture” using small titanium plates for cosmetic purposes. A fracture may cause injury to the underlying brain or tear a blood vessel, so it is generally mportant to obtain a CT scan after an initial injury involving a skull fracture. Our practice has treated these and even small unique fractures in babies several days old (called “ping-pong fractures”) with excellent cosmetic results long-term.
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