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Minimally Invasive Versus Open Cranial Vault Remodeling Procedures for Single-Suture Craniosynostosis: What Do We
Benjamin B Massenburg1, Jordan W Swanson2
1Division of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia, 3500 Civic Center Boulevard, 11th Floor, Philadelphia, PA 19104, USA; Division of Plastic Surgery, Rady Children's Hospital - San Diego, San Diego, CA, USA; University of California, San Diego, San Diego, CA, USA.
Abstract:
Craniosynostosis is a congenital condition characterized by the premature fusion of cranial sutures, disrupting normal skull and potentially brain growth. The current gold standard for nonsyndromic single-suture craniosynostosis is open cranial vault remodeling, which was pioneered by surgeons like Tessier and Whitaker in the 1970s. Recent advances have led to minimally invasive techniques, such as endoscopic-assisted strip craniectomy with helmeting, spring-assisted cranioplasty, and distraction osteogenesis. These methods aim to minimize surgical trauma, reduce blood loss, and shorten recovery times. This review assesses the evidence comparing open and minimally invasive surgeries for nonsyndromic single-suture craniosynostosis.
