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Published on: January 26, 2024
Endoscope-assisted repair of metopic synostosis
1Department of Neurosurgery, Ege University Faculty of Medicine, Bornova, İzmir, Turkey, yersahin@gmail.com.
Purpose:
Endoscopic treatment of nonsyndromic craniosynostosis has been used in recent decades. The aim of this study is to present the results of endoscope-assisted surgery of the patients with metopic synostosis.
Methods:
Nineteen patients with metopic synostosis underwent endoscope-assisted surgery between 2005 and 2012. The frontal angle was measured on CT scans pre- and postoperatively. A midline strip craniectomy was made, making sure that the removal extended inferiorly to the nasofrontal suture. Postoperatively, all patients wear a custom molding helmet. The helmet was then worn for 23 h daily and worn for the next 10-12 months.
Results:
There were 15 boys and 4 girls, ranging in age from 4 to 24 weeks. Mean operative time and transfused blood volume were 43.42 min and 76.31 ml, respectively. Mean follow-up was 59.3 weeks. Good esthetic results, judged by radiological examination and photograph comparison, were obtained in all patients.
Conclusions:
Endoscope-assisted repair of metopic synostosis is safe and offers promising results in infants before the age of 6 months. Molding helmet therapy following surgery is very important in obtaining the good results. Early diagnosis and referral for surgery are crucial.
