Endoscope-Assisted “Extended” Suturectomy for Unicoronal Craniosynostosis: A Technical Note

Deraje, Vybhav; Gopal, Swaroop; Mendonca, Derick A.; Gujjalanavar, Rajendra S

doi:10.1097/prs.0000000000008531

Cited by 1 publication

(3 citation statements)

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“…5, 7). This modification has improved the surgical outcomes at the supra-orbital region 5 . The modification is also applied to patients with bicoronal craniosynostosis (Figs.…”

Section: Resultsmentioning

confidence: 99%

“…A major component of this release extends into the sphenoid wing. 5 We have also modified our approach to 2 small transverse incisions, one near the fontanelle and second near the pterion. In patients with sagittal craniosynostosis and an especially long scaphocephalic head, a lazy S incision can be considered 1,2 (Figs.…”

Section: Discussionmentioning

confidence: 99%

“…5 – 7). A major component of this release extends into the sphenoid wing 5 . We have also modified our approach to 2 small transverse incisions, one near the fontanelle and second near the pterion.…”

Section: Discussionmentioning

confidence: 99%

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Integrated Endoscopic Craniosynostosis Surgery and Cranial Orthosis Program

Ravi,

Aziz,

AlOlama

et al. 2023

Journal of Craniofacial Surgery

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Introduction: Craniosynostosis results from premature fusion of the cranial sutures. There has been a continuous evolution of surgical correction techniques from an extensive open procedure to the minimally invasive technique. Aims and Objectives: This novel surgical technique has never been previously done in the UAE and this article documents the experience of the first team to endoscopically correct craniosynostosis with planning, surgical techniques, and customized helmet therapy. Methods: A retrospective case series of 16 nonsyndromic craniosynostosis patients with unicoronal (6), sagittal (5), bicoronal (1), frontosphenoidal (2), and metopic craniosynostoses (2) was corrected endoscopically and followed up with customized cranial helmet. Preoperative and postoperative photography, along with anthropometric measurements were taken. Results: The mean age of all patients at the time of surgery was 101 (90–117) days, mean duration of surgery was 70 minutes (38–129), mean blood loss was 120 mL (100–150), and mean duration of hospital stay 4 days (4–5). No complications and mortality were reported. Mean number of helmets was 2 (1–3). Cranial index improved in all patients with sagittal and bicoronal craniosynostosis. Close cooperation with the orthotist ensured timely helmet therapy and accurate laser scanning documentation in head molding. Conclusions: This case series has demonstrated that endoscopically craniosynostosis correction is safe, effective, and reliable and is the first reported series from the Middle East. The authors believe that every patient with nonsyndromic single‑suture craniosynostosis should be offered endoscopic correction before the age of 6 months. The orthotist forms an important part of the Multi-disciplinary team, enabling successful outcomes.

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“…5, 7). This modification has improved the surgical outcomes at the supra-orbital region 5 . The modification is also applied to patients with bicoronal craniosynostosis (Figs.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%