Endoscopic-assisted osteotomies for the treatment of craniosynostosis
Abstract
Introduction The development of multidisciplinar units for Craniofacial Surgery has led to better postoperative results and a considerable decrease in morbidity in the treatment of complex craniofacial patients.Materials and methods Standard correction of craniosynostosis involves calvarial remodeling, often considerable blood losses that need to be replaced and lengthy hospital stay. The use of minimally invasive techniques for the correction of some of these malformations are widespread and allows the surgeon to minimize the incidence of complications by means of a decreased surgical time, blood salvage, and shortening of postoperative hospitalization in comparison to conventional craniofacial techniques.Discussion and conclusion Simple and milder craniosynostosis are best approached by endoscopy-assisted osteotomies and render the best results. Extended procedures other than simple suturectomies have been described for more severe patients. Different osteotomies resembling standard fronto-orbital have been developed for the correction, and the use of postoperative cranial orthesis may improve the final cosmetic appearance. Thus, endoscopic-assisted procedures differ from the simple strategy of single suture resection that rendered insufficient results in the past, and different approaches can be tailored to solve these cases in patients in the setting of a case-to-case bases.
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Several studies have shown the efficacy of endoscopic treatment of ISS and comparable results to those after open cranial remodelling.
“Several studies have shown the efficacy of endoscopic treatment of ISS and comparable results to those after open cranial remodelling [71,72,73].”
From Isolated Sagittal Craniosynostosis: A Comprehensive Review (2024) · cites this paper as [71]
Endoscopic treatment is based on the ability of the developing brain to reshape the skull, and the corrective helmet provides support by inhibiting the longitudinal growth vector and stimulating the lateral growth vector.
“Endoscopic treatment is based on the ability of the developing brain to reshape the skull, and the corrective helmet provides adequate support by inhibiting the longitudinal growth vector of the skull and thereby stimulating the lateral growth vector [71,72].”
From Isolated Sagittal Craniosynostosis: A Comprehensive Review (2024) · cites this paper as [71]
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“Several studies have shown the efficacy of endoscopic treatment of ISS and comparable results to those after open cranial remodelling [71–73].”
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- Authors
- Hinojosa, J., Esparza, J., & Muñoz, M. J.
- Affiliations
- Hospital Universitario 12 De Octubre (ES)
- Corresponding author
- Hinojosa, J.
- Venue
- Child s Nervous System
- Published
- 2007-09-26
- Volume
- 23
- Issue
- 12
- Pages
- 1421-1430
- ISSN
- 0256-7040 (ISSN-L)
- 1433-0350
- OpenAlex
- W1994406755
- Cited by
- 30
- References
- 26
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 1 · 2018: 2 · 2017: 4 · 2016: 1 · 2014: 1 · 2013: 2 · 2012: 4
- FWCI
- 0.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Child s Nervous System (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Pectus Deformity Diagnosis and Treatment
- Keywords
- craniosynostosis, suturectomy, blood loss reduction, postoperative hospital stay
- MeSH terms
- Craniosynostoses, Endoscopy, Head Protective Devices, Humans, Infant, Orthotic Devices, Osteotomy, Treatment Outcome
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