Endoscopic craniectomy for early surgical correction of sagittal craniosynostosis

Open surgery provides immediate correction but is more invasive, with higher risks of complications such as significant blood loss and scarring.

“Open surgery provides immediate correction but is more invasive, with higher risks of complications like significant blood loss and scarring [9–11].”

Endoscopic surgery offers reduced blood loss, shorter operation times, and minimal scarring but often requires postoperative helmet therapy.

“The endoscopic method offers benefits like reduced blood loss, shorter operation times, and minimal scarring but often requires postoperative helmet therapy.”

In Jimenez & Barone's follow-up, all patients had successful and sustained correction of scaphocephaly.

“In a subsequent follow-up visit after eight to 15 months, the authors found that all patients had undergone successful and sustained correction of the scaphocephaly [9].”

Jimenez & Barone's endoscopic technique with Barrel-Staves osteotomies had an average operating time of 1.68 h and average blood loss of 54.2 ml.

“An average operating time of 1.68 h with an average blood loss of 54.2 ml was determined.”

In Jimenez & Barone's initial four patients, three did not require blood transfusion and were discharged after 24 h.

“Three out of four patients did not require a blood transfusion and could be discharged after just 24 h.”

ESC with barrel staves markedly decreased transfusion rates and mortality risk.

“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].”

Introduction of endoscopic strip craniectomy (ESC) with barrel staves in the late 1990s resulted in a reduction in blood loss to an average of 27 ml.

“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].”

Endoscopic procedures have the advantage of requiring fewer skin incisions and less blood loss and are considered less invasive and more child-friendly.

“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].”

The endoscopic-assisted method often necessitates postoperative helmet therapy to guide skull remodeling.

“However, it often necessitates postoperative helmet therapy to guide skull remodeling [9, 10].”

The endoscopic-assisted method offers advantages such as reduced blood transfusion rates, shorter surgical times, less scarring, and shorter hospital stays.

“The endoscopic-assisted method offers advantages such as reduced blood transfusion rates, shorter surgical times, less scarring, and shorter hospital stays.”