Multiple-suture nonsyndromic craniosynostosis: early and effective management using endoscopic techniques.

Area of Science:

• Pediatric Neurosurgery
• Craniofacial Surgery
• Minimally Invasive Surgery

Background:

• Nonsyndromic craniosynostosis involving multiple sutures requires effective treatment strategies.
• Endoscopy-assisted techniques offer a less invasive approach compared to traditional open surgery.

Observation:

• A study evaluated 21 infants with multiple-suture nonsyndromic craniosynostosis treated with endoscopy-assisted craniectomies and postoperative cranial orthoses.
• The most frequently treated sutures were coronal, sagittal, metopic, and lambdoid.

Findings:

• Endoscopic treatment resulted in no deaths, with a mean follow-up of 61 months.
• Significant correction of deformities like brachycephaly, vertical dystopia, and nasal deviation was observed.
• Mean blood loss was 42 ml, mean hospital stay was 1 day, and the intraoperative transfusion rate was 0%.

Implications:

• Endoscopic techniques provide a safe and effective surgical alternative for complex craniosynostosis.
• Early intervention with this method leads to excellent correction of skull base and craniofacial abnormalities.
• This approach minimizes surgical trauma and hospital stay for pediatric patients.