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How I do it. 3D endoscopic treatment of metopic craniosynostosis through a single incision
Juan Delgado-Fernández1, Mónica Rivero-Garvía2, Javier Márquez-Rivas2
1Division of Neurosurgery, Department of Surgery, University Hospital La Princesa, C/Diego de León 32, 28006, Madrid, Spain. juan.delgado.fdez@gmail.com.
Background:
Endoscopic approaches for craniosynostosis are a growing field in pediatric neurosurgery. In metopic synostosis, previous reports for complete fronto-orbital remodeling have proposed an intervention with multiple incisions (bregmatic, tarsal, and preauricular) to open frontonasal and frontoethmoidal synostotic sutures, and orbital roof.
Methods:
We propose a technique to complete all these osteotomies with a unique incision anterior to the bregmatic fontanel under 3D endoscopic vision, and review possible complications, limits, and pitfalls.
Conclusions:
Under endoscopic assistance, a complete fronto-orbital remodeling could be completed with a unique incision without mayor drawbacks.
