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Endoscopic surgical treatment of bilateral coronal craniosynostosis
Yasser Jeelani1, Mark R Proctor1
1Department of Neurosurgery, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Insights
Endoscopic surgery is increasingly used for syndromic craniosynostosis, offering a minimally invasive approach. This technique helps prevent turribrachycephaly and shows promising long-term outcomes in patients.
Area of Science:
- Neurosurgery
- Pediatric Surgery
- Craniofacial Surgery
Background:
- Endoscopic surgery for single-suture synostosis is well-established.
- Its application in syndromic craniosynostosis is a growing area of interest.
- Turribrachycephaly is a common complication in syndromic craniosynostosis.
Purpose of the Study:
- To review the technique for endoscopic treatment of bilateral coronal craniosynostosis.
- To discuss the benefits and potential concerns associated with this approach.
- To present long-term outcomes of endoscopic treatment for syndromic craniosynostosis.
Main Methods:
- Video demonstration of endoscopic surgical technique.
- Discussion of clinical benefits and potential complications.
- Review of long-term patient outcomes.
Main Results:
- Endoscopic surgery can be a primary or initial treatment for syndromic craniosynostosis.
- The technique aims to prevent turribrachycephaly.
- Long-term outcomes in a consecutive patient series were evaluated.
Conclusions:
- Endoscopic surgery is a viable option for syndromic craniosynostosis.
- Careful consideration of benefits and potential concerns is necessary.
- The approach shows promise in managing complex craniofacial deformities.
Abstract:
Endoscopic surgery for single-suture synostosis has been widely adopted since its introduction over 2 decades ago. Its role in syndromic synostosis is emerging, both as a primary treatment and as the first stage in a multimodal treatment paradigm aimed at preventing the vexing turribrachycephaly seen in these children. In this video, the authors review the technique for endoscopic treatment of bilateral coronal craniosynostosis and discuss both the benefits and some of the concerns to look out for over time. They also review the long-term outcomes in a consecutive series of patients treated in this fashion. The video can be found here: https://vimeo.com/516351348.
