Surgical management of growing skull fractures: How I do it.

Etter, Manina M; Vernik, Tamara; Licci, Maria; Guzman, Raphael; Soleman, Jehuda; Greuter, Ladina · Acta Neurochir (Wien) · 2025

Level V

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Abstract

Growing skull fractures (GSF) represent a rare complication following linear traumatic skull fractures with an underlying dural tear, mainly occurring during infancy and early childhood. GSF can cause encephalocele, hydrocephalus, or encephalomalacia, potentially leading to long-term neurological sequelae. Therefore, prompt diagnosis and early treatment is paramount. We outline our surgical reconstruction technique for managing GSF. GSF is effectively treated with a dural and bony reconstruction, using a fast-resorbable polymer mesh.

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