The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Endoscopic technique for sagittal synostosis
Abstract
Purpose This study aimed to present a 16-year experience of treating sagittal synostosis with endoscopic-assisted techniques and postoperative cranial orthotic therapy. In 1996, we introduced the use of endoscopes for the management of sagittal synostosis in four young infants. During the subsequent years, we have treated a total of 256 patients with great success and long-term follow-up. Presented herein are the techniques and results of such clinical experience.Methods A total of 256 patients with sagittal synostosis have been treated between May 1996 and April 2012. There were 187 males and 69 females. Mean age at time of surgery was 3.9 months. A wide-vertex craniectomy with bilateral barrel stave osteotomies of the temporal and parietal bones using small scalp incisions and endoscopic viewing techniques was performed. Instruments have been developed to assist with the operation. All patients were placed in postoperative molding cranial orthosis.Results Mean estimated blood loss was 27 cc. Mean transfusion rate was 7 %. Mean surgical time was 57 min. Mean length of stay was 1.1 days. Using cephalic index (CI) as an anthropometric measurement to judge head shape, our results were classified as excellent (CI>80), good (CI 80-70), or poor (CI<70). A total of 87 % were classified as excellent, 9 % as good, and 4 % as poor.Conclusions Endoscopic-assisted management of sagittal synostosis is a safe, efficacious, and excellent option for treating this condition with long-lasting, superb results. It is associated with minimal morbidity and complications and improved results over traditional procedures.
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In the citing paper
“Blood loss was reduced to an average of 27 ml and the transfusion rate to 7%.”
From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [50]
In the citing paper
“The very high success rate of 87% remained similar to subsequent years despite the change in CI guidelines”
From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [50]
In the citing paper
“In contrast, the introduction of ESC with barrel staves in the late 1990s by Jimenez and Barone, which was made possible by technological advances in image-guided surgery, instrumentation and neuroendoscopy, resulted in a reduction in blood loss to an average of 27 ml, markedly decreasing transfusion rates and mortality risk [9, 50].”
From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [50]
In the citing paper
“In contrast, the introduction of ESC with barrel staves in the late 1990s by Jimenez and Barone, which was made possible by technological advances in image-guided surgery, instrumentation and neuroendoscopy, resulted in a reduction in blood loss to an average of 27 ml, markedly decreasing transfusion rates and mortality risk [9, 50].”
From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [50]
In the citing paper
“In addition to the reduced blood loss, after 16 years of using this method, patients experienced fewer transfusion and shorter hospital stays compared to those who underwent open procedures [15, 50].”
From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [50]
In the citing paper
“In addition to the reduced blood loss, after 16 years of using this method, patients experienced fewer transfusion and shorter hospital stays compared to those who underwent open procedures [15, 50].”
From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [50]
In the citing paper
“They have the advantage of requiring fewer skin incisions and less blood loss and are therefore considered less invasive and more child-friendly [64,65,66,67,68,69,70].”
From Isolated Sagittal Craniosynostosis: A Comprehensive Review (2024) · cites this paper as [67]
In the citing paper
“Two primary surgical approaches are utilized for the treatment of craniosynostosis: the (flexible) endoscopic-assisted technique and the conventional open surgical approach, with the choice depending on individual surgical planning and case specifics.”
From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [50]
In the citing paper
“Endoscopic approaches are preferred in infants younger than 6 months, while open surgical techniques are typically used in older children [2, 50, 85].”
From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [50]
Citations
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CRANIOSYNOSTOSIS: A REVIEW OF 519 SURGICAL PATIENTS
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Self-citationManagement of Craniosynostosis
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Self-citationTiming of treatment for craniosynostosis and faciocraniosynostosis: a 20-year experience
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Self-citationTreatment of scaphocephaly with sagittal craniectomy and biparietal morcellation
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Komuro, Y., Yanai, A., Hayashi, A., Nakanishi, H., Miyajima, M., & Arai, H. (2005) · British Journal of Plastic Surgery · doi:10.1016/j.bjps.2004.06.034 · Cited by 54
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Cited by
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Craniosynostosis - Recognition, clinical characteristics, and treatment
Kajdic, N., Spazzapan, P., & Velnar, T. (2017) · Bosnian Journal of Basic Medical Sciences · doi:10.17305/bjbms.2017.2083 · Cited by 213
Han, R. H., Nguyen, D. C., Bruck, B. S., Skolnick, G. B., Yarbrough, C. K., Naidoo, S. D., Patel, K. B., Kane, A. A., Woo, A. S., & Smyth, M. D. (2016) · Journal of Neurosurgery: Pediatrics · doi:10.3171/2015.7.peds15187 · Cited by 123
Thompson, D. R., Zurakowski, D., Haberkern, C. M., Stricker, P. A., & Meier, P. M. (2018) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000002454 · Cited by 100
Identifying the Misshapen Head: Craniosynostosis and Related Disorders
Dias, M. S., Samson, T. D., Rizk, E., Governale, L. S., Richtsmeier, J. T., & SECTION ON NEUROLOGIC SURGERY, S. O. P. A. R. S. (2020) · PEDIATRICS · doi:10.1542/peds.2020-015511 · Cited by 78
Lin, Y., Pan, I.-W. E., Harris, D. A., Luerssen, T. G., & Lam, S. K. (2015) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2015.02.007 · Cited by 70
Metadata
- Authors
- Jimenez, D. F., & Barone, C. M.
- Affiliations
- The University of Texas at San Antonio Health Science Center (US)
- Corresponding author
- Jimenez, David F.
- Venue
- Child's Nervous System
- Published
- 2012-08-08
- Volume
- 28
- Issue
- 9
- Pages
- 1333-1339
- ISSN
- 0256-7040 (ISSN-L)
- 1433-0350
- OpenAlex
- W2035906713
- Cited by
- 102
- References
- 15
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 7 · 2022: 11 · 2021: 6 · 2020: 11 · 2019: 5 · 2018: 7 · 2017: 9 · 2016: 14 · 2015: 9 · 2014: 4 · 2013: 1 · 2012: 1
- FWCI
- 2.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Child s Nervous System (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Craniofacial Disorders and Treatments
- Health Sciences › Medicine › Surgery › Pectus Deformity Diagnosis and Treatment
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- sagittal synostosis, cephalic index, surgical outcomes, blood loss
- MeSH terms
- Anthropometry, Child, Preschool, Cranial Sutures, Craniosynostoses, Craniotomy, Endoscopy, Female, Humans, Infant, Longitudinal Studies, Male, Retrospective Studies, Treatment Outcome, Orthopedic Procedures, Plastic Surgery Procedures
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