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.
Keywords
craniosynostosis - endoscope - pediatric
