Concluded Case

OSSIFIED cephalhematoma

A baby developed cephalhematoma at birth and I told parents that THE SWELLING WILL BE ABSORBED BY 2-3 MONTHS but after 2 they came with OSSIFIED swelling of cephalhematoma. Can I do anything now ???

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A pressure bandage is applied after aspiration to prevent re-accumulation of the hematoma. In cases that present late (after 3-6 months), the cephalohematoma feels hard and on the CT scan, is completely encased by bone. Surgery is the only effective treatment for these calcified cephalohematoma. Wait and watch Within 1 month now.
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A pressure bandage is applied after aspiration to prevent re-accumulation of the hematoma. In cases that present late (after 3-6 months), the cephalohematoma feels hard and on the CT scan, is completely encased by bone. Surgery is the only effective treatment for these calcified cephalohematoma. Wait and watch Within 1 month now.
SUGGESTIVE OF CALCIFIED CEPHALOHEMATOMA.... ADVISABLE... SURGICAL CORRECTION
As you have described it as a cephalic haematoma and rightly you have advised it will get resolved within 3 months but if it has not got resolution then it can be take it be granted it has calcified or ossified, because the cephalic haematoma grows under the periosteum so chance of ossified haematoma is more and expected no more resolution will happen. Go for one CT scan to see the extent of the ossified haematoma. No medical treatment can help out the PT Only surgical excision is the treatment.
In all probabilities cephalohematomas resolve naturally but exceptions are always Now since it has calcified and distorting the cranium and child is in growing age better to opt for surgical correction results are better
Thanx dr Dinesh Gupta
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Ossified cephalhaematoma.may improve to some extent by remodeling.msy wait until 1 yr of age, followed by surgery if necessary.
Calcified Cephalohematoma can produce distortion of skull vault. Exellent results with surgical correction.
Calcified Cephalohematoma. Refer to neurosurgeon
Osteotomy of calcified cephlhaematoma
Calcified cephalohematoma has inner and outer layers of bone. The inner layer consists of the foetal inner and outer table of intramembranous calvarial bone and the outer layer is made up of subpericranial bone formed after separation of the pericranium for the underlying calvarium.
A hematoma like that elevate the periosteum stimulating subperiosteal bone deposition. What we are seeing now may be just thickened bone It will remodel For completion sake,take xrays and confirm If asymptomatic can be left alone Rule out other conditions as well
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