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Journal of Korean Cleft Palate-Craniofacial Association 2007;8(2):91-93.
A Case of Frontal Bone Depression Deformity of Child After Endoscopic Forehead Surgery.
So Young Lim, Sa Ik Bang, Goo Hyun Mun, Jai Kyong Pyon, Kap Sung Oh
Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sy72.lim@samsung.com
The depression of skull is known to be caused by exaggerated or prolonged pressure applied to the fetal head in utero or during delivery, or prolonged pressure of tissue expander on the skull during tissue expansion. In these cases, a conservative management has been reasonable treatment option. The authors describe a new case of frontal skull depression after endoscopic forehead surgery along with a brief review of the literature. A 3 year-old female visited with a complaint of a depression in the left frontal region, which had been found 8 months after endoscopic forehead surgery for removal of dermoid cyst of left eyebrow. CT scan revealed frontal bone depression involving the diploe with absence of new bone formation. The lesion has had no change since it had been found. If the patient did not have any other traumatic history before the onset of the depression of the skull, this is the first report that endoscopic forehead surgery could result in partial depression of the skull in operative field.
Keywords: Skull depression; Child; Endoscopic forehead surgery
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