Semin Plast Surg 2014; 28(3): 144-149
DOI: 10.1055/s-0034-1384810
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Endoscopic-Assisted Craniosynostosis Surgery

Johnnie Harrel Honeycutt
1   Department of Neurosurgery, Cook Children's Hospital, Fort Worth, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
04 September 2014 (online)

Abstract

Over the last decade, endoscopy has been increasingly utilized in craniosynostosis surgery. In 2006, the author added endoscopy followed by helmet therapy to the treatment of young craniosynostosis patients. Since then, 73 children have been successfully treated utilizing endoscopic techniques with a transfusion rate of 23%. Most children are discharged on the first postoperative day; helmet therapy begins one week later. A helmet is worn for 4 to 6 months with one helmet replacement. Complications were limited to three reoperations to address suboptimal results, and one reoperation for a persisting skull defect. One sagittal sinus injury was addressed successfully, with resolution of a small intrasinus thrombus and no adverse brain sequelae. Although not applicable to every craniosynostosis patient, properly applied endoscopic-assisted craniosynostosis surgery is safe and effective, adding another option to the treatment armamentarium for craniosynostosis.

 
  • References

  • 1 Vicari F. Endoscopic correction of sagittal craniosynostosis. Paper presented at: Meeting of the American Society of Plastic Surgeons; September 25–28, 1994; San Diego, CA
  • 2 Jimenez DF, Barone CM. Endoscopic craniectomy for early surgical correction of sagittal craniosynostosis. J Neurosurg 1998; 88 (1) 77-81
  • 3 Keshavarzi S, Hayden MG, Ben-Haim S, Meltzer HS, Cohen SR, Levy ML. Variations of endoscopic and open repair of metopic craniosynostosis. J Craniofac Surg 2009; 20 (5) 1439-1444
  • 4 Cohen SR, Holmes RE, Ozgur BM, Meltzer HS, Levy ML. Fronto-orbital and cranial osteotomies with resorbable fixation using an endoscopic approach. Clin Plast Surg 2004; 31 (3) 429-442 , vi
  • 5 Cohen SR, Pryor L, Mittermiller PA , et al. Nonsyndromic craniosynostosis: current treatment options. Plast Surg Nurs 2008; 28 (2) 79-91
  • 6 Kim D, Pryor LS, Broder K , et al. Comparison of open versus minimally invasive craniosynostosis procedures from the perspective of the parent. J Craniofac Surg 2008; 19 (1) 128-131
  • 7 Kohan E, Wexler A, Cahan L, Kawamoto HK, Katchikian H, Bradley JP. Sagittal synostotic twins: reverse pi procedure for scaphocephaly correction gives superior result compared to endoscopic repair followed by helmet therapy. J Craniofac Surg 2008; 19 (6) 1453-1458
  • 8 Clayman MA, Murad GJ, Steele MH, Seagle MB, Pincus DW. History of craniosynostosis surgery and the evolution of minimally invasive endoscopic techniques: the University of Florida experience. Ann Plast Surg 2007; 58 (3) 285-287
  • 9 Murad GJA, Clayman M, Seagle MB, White S, Perkins LA, Pincus DW. Endoscopic-assisted repair of craniosynostosis. Neurosurg Focus 2005; 19 (6) E6
  • 10 Stelnicki E, Heger I, Brooks CJ , et al. Endoscopic release of unicoronal craniosynostosis. J Craniofac Surg 2009; 20 (1) 93-97
  • 11 Esparza J, Hinojosa J, García-Recuero I, Romance A, Pascual B, Martínez de Aragón A. Surgical treatment of isolated and syndromic craniosynostosis. Results and complications in 283 consecutive cases. Neurocirugia (Astur) 2008; 19 (6) 509-529
  • 12 Esparza J, Hinojosa J. Complications in the surgical treatment of craniosynostosis and craniofacial syndromes: apropos of 306 transcranial procedures. Childs Nerv Syst 2008; 24 (12) 1421-1430
  • 13 Stelnicki EJ. Endoscopic treatment of craniosynostosis. Atlas Oral Maxillofac Surg Clin North Am 2002; 10 (1) 57-72
  • 14 Cohen SR, Holmes RE, Meltzer HS, Nakaji P. Immediate cranial vault reconstruction with bioresorbable plates following endoscopically assisted sagittal synostectomy. J Craniofac Surg 2002; 13 (4) 578-582 , discussion 583–584
  • 15 Jimenez DF, Barone CM. Multiple-suture nonsyndromic craniosynostosis: early and effective management using endoscopic techniques. J Neurosurg Pediatr 2010; 5 (3) 223-231
  • 16 Jimenez DF, Barone CM, Cartwright CC, Baker L. Early management of craniosynostosis using endoscopic-assisted strip craniectomies and cranial orthotic molding therapy. Pediatrics 2002; 110 (1 Pt 1) 97-104
  • 17 Jimenez DF, Barone CM. Endoscopy-assisted wide-vertex craniectomy, “barrel-stave” osteotomies, and postoperative helmet molding therapy in the early management of sagittal suture craniosynostosis. Neurosurg Focus 2000; 9 (3) e2
  • 18 Barone CM, Jimenez DF. Endoscopic approach to coronal craniosynostosis. Clin Plast Surg 2004; 31 (3) 415-422 , vi
  • 19 Barone CM, Jimenez DF. Endoscopic craniectomy for early correction of craniosynostosis. Plast Reconstr Surg 1999; 104 (7) 1965-1973 , discussion 1974–1975
  • 20 Jimenez DF, Barone CM, McGee ME, Cartwright CC, Baker CL. Endoscopy-assisted wide-vertex craniectomy, barrel stave osteotomies, and postoperative helmet molding therapy in the management of sagittal suture craniosynostosis. J Neurosurg 2004; 100 (5, Suppl Pediatrics) 407-417
  • 21 Jimenez DF, Barone CM. Early treatment of anterior calvarial craniosynostosis using endoscopic-assisted minimally invasive techniques. Childs Nerv Syst 2007; 23 (12) 1411-1419
  • 22 Cartwright CC, Jimenez DF, Barone CM, Baker L. Endoscopic strip craniectomy: a minimally invasive treatment for early correction of craniosynostosis. J Neurosci Nurs 2003; 35 (3) 130-138