Evaluation of Helmeting Therapy Duration After Endoscopic Strip Craniectomy for Metopic and Sagittal Craniosynostosis
Abstract
Introduction: Endoscopic strip craniectomy (ESC) is a minimally invasive option for early surgical treatment of metopic (MC) and sagittal craniosynostosis (SC). For ESC, however, the postoperative duration and compliance of helmet therapy are crucial to correct MC and SC asymmetry. The purpose of this study is to assess the period of postoperative band therapy and determine differences, if any, between MC and SC. Methods: A single-institution retrospective review was performed for patients with MC and SC who underwent ESC from November 2015 to 2019. Patients received preoperative, postoperative, and post-band 3-dimensional imaging. Factors recorded included patient sex, insurance type, number of helmets needed, age at surgery, time of first helmet, and at time of completion of helmet therapy, cephalic index, interfrontal angle, and cranial vault asymmetry index. Results: Patients with SC and MC had ESC surgery at 3.3 and 3.4 months of age, respectively. Patients with SC were found to have completed banding therapy at a younger age (7.88 versus 10.0 mo), with shorter duration (4.17 versus 6.00 mo), and less number of bands (1.54 versus 2.21) than patients with MC. After regression analysis, suture type was found to be a significant predictor of total time in band therapy (P=0.039) with MC requiring a longer duration of banding therapy when compared with SC. Conclusions: Suture type directly correlates with duration of helmeting therapy for patients, with patients with MC requiring longer periods of postop helmeting and increased number of bands as compared with SC.
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Integration of helmet therapy after endoscopic procedures increased corrective effect, especially for sagittal craniosynostosis.
“The integration of helmet therapy after endoscopic procedures showed an increased corrective effect, especially for the sagittal Craniosynostosis [1, 53, 55, 56].”
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 [53]
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Hermann, J., Raak, C. K., Ostermann, T., & Scharbrodt, W. (2025) · Orphanet Journal of Rare Diseases · doi:10.1186/s13023-025-03978-9 · Cited by 2 · see citing works
“The integration of helmet therapy after endoscopic procedures showed an increased corrective effect, especially for the sagittal Craniosynostosis [1, 53, 55, 56].”
- Authors
- Nguyen, H. T., Washington, G. N., Cepeda, A., Littlefield, T., Teichgraeber, J. F., Greives, M. R., & Nguyen, P. D.
- Affiliations
- The University of Texas Health Science Center at Houston (US)
- Memorial Hermann (US)
- Cranial Technologies, Chandler, AZ
- Corresponding author
- Nguyen, Huan T.
- Venue
- Journal of Craniofacial Surgery
- Published
- 2023-11-16
- Volume
- 35
- Issue
- 2
- Pages
- 415-418
- ISSN
- 1049-2275 (ISSN-L)
- OpenAlex
- W4388744611
- Cited by
- 6
- References
- 14
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Craniofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
- Health Sciences › Medicine › Surgery › Pectus Deformity Diagnosis and Treatment
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- endoscopic strip craniectomy, metopic craniosynostosis, sagittal craniosynostosis, helmet therapy, cranial vault asymmetry, suture type, cephalic index, craniosynostosis surgery
- MeSH terms
- Craniosynostoses, Craniotomy, Endoscopy, Female, Head Protective Devices, Humans, Infant, Male, Postoperative Care, Retrospective Studies, Time Factors, Treatment Outcome, Imaging, Three-Dimensional
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