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In this paper, we report a case of PPF in a female newborn infant associated with instrumental delivery, which was managed non-surgically with a vacuum extraction method. Because such a condition is uncommon and can be effectively managed with a relatively easy non-invasive method, this case is clinically interesting.<\/jats:p>","DOI":"10.1177\/19345798241309879","type":"journal-article","created":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T22:01:41Z","timestamp":1744581701000},"page":"167-172","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Ping-pong skull fracture in a neonate managed successfully with vacuum-assisted technique"],"prefix":"10.1177","volume":"18","author":[{"given":"Omer","family":"Akbar","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Section of Neonatology, Dr. Suliman Fakeeh Hospital-Jeddah, Jeddah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaled","family":"Abushafi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Dr. Suliman Fakeeh Hospital, Jeddah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heba","family":"AlShaikh","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Section of Neonatology, Dr. Suliman Fakeeh Hospital-Jeddah, Jeddah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulaziz","family":"Al-Khotani","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, College of Medicine, Um AlQura University, Makkah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mansour","family":"Al Qurashi","sequence":"additional","affiliation":[{"name":"Neonatology Division, Department of Paediatrics, Ministry of National Guard Health Affairs (MNGHA), College of Medicine, King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), King Abdullah International Medical Research Centre (KAIMRC), King Abdulaziz Medical City, Jeddah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,20]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.17116\/neiro202286011962"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-226264"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2014-207077"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.1999.00327.x"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3171\/2012.2.peds11304"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.06.035"},{"key":"e_1_3_2_8_2","volume-title":"Infant skull fracture prognosis|moderate to severe injury","author":"Cerebral Palsy Guidance","year":"2023","unstructured":"Cerebral Palsy Guidance. 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