Management of calcified cephalohaematoma

Definition

Calcified cephalohaematoma is cephalohaematoma that is calcified.

Cephalohaematoma is haematology under the periosteum and teh outer table of skull. This occurs following instrumented assisted child birth.

 

Natural History

Cephalohaematoma usually resolve spontaneous. However, rarely they can become calcified. The calcification occurs along the elevated periosteum.

 

Classification

Wong C et. al classified calcified cephalohaematoma in to two groups.

 

  • Type I 
  • Type II

 

Type I

Here the calvarium under the cephalohaematoma maintains it normal contour.

 

Type II

Her teh calvarium under teh cephalohaematoma buckles inside and the thus encroached into the the intracranial space.

 

Management

Calcified cephalohaematoma have been reported to resolve spontaneously. Wong et al advocate surgical intervention only for type cephalohaematoma. They  referenced two techniques.

 

  • Flip-over Bull’s-eye technique
  • Cap radial craniotomy technique

 

 

 

 

 

 

 

 

 

 

 

Reference

Wong, C., Foo, C., & Seow, W. (2006). Calcified cephalohematoma: classification, indications for surgery and techniques. J Craniofac Surg, 17(5), 970–979. https://doi.org/10.1097/01.scs.0000229552.82081.de

 

Last updated byGanealingam Narenthiran on July 16, 2021

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.