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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
A plea for early operation for craniosynostosis
1Children's Hospital, Boston, Massachusetts 02115.
Insights
Simpler cranial surgeries in early infancy are effective for craniosynostosis. This study reassesses the efficacy of these less complex procedures for sagittal, coronal, and lambdoid synostosis.
Area of Science:
- Craniofacial Surgery
- Pediatric Neurosurgery
- Developmental Biology
Background:
- Craniosynostosis involves premature fusion of cranial sutures, impacting skull development.
- Complex craniofacial operations are common, but simpler early interventions warrant re-evaluation.
Purpose of the Study:
- To reassess the efficacy of simpler cranial operations for craniosynostosis in neonates.
- To evaluate outcomes of early surgical interventions for single and multiple suture synostosis.
Main Methods:
- Review of cases involving simple cranial procedures for craniosynostosis.
- Analysis of surgical outcomes for sagittal, coronal, and lambdoid synostosis.
- Inclusion of a case with multiple suture involvement.
Main Results:
- Demonstration of effective outcomes with simpler surgical techniques.
- Illustrative examples of successful treatment for various synostosis types.
- Evidence supporting early intervention with less complex procedures.
Conclusions:
- Simpler cranial operations performed in the first few weeks of life are effective for craniosynostosis.
- Early surgical management of craniosynostosis can yield positive results.
- Reassessment confirms the value of less invasive approaches in pediatric craniofacial surgery.
Abstract:
In times when much is written of complex craniofacial operations for synostosis, it is important to reassess the efficacy of simpler operations on the cranium when carried out in the first few weeks of life. Examples of sagittal, coronal, and lambdoid synostosis are shown, as well as one patient with multiple suture involvement.

