Endoscope-Assisted Versus Open Repair of Craniosynostosis

• DOI: 10.1097/scs.0b013e3182646ab8
• Publication Date: 2013-01-24T13:13:13Z
• Authors: Jennifer W.H. Chan; Camille L. Stewart; Mark W. Stalder; Hugo St. Hilaire; Lori McBride; Michael H. Moses
• Keywords: Cranial vault; Endoscope; Cranioplasty

Background Craniosynostosis, the premature closure of calvarial sutures, results in characteristic skull deformations. Correction craniosynostosis has traditionally involved an open cranial vault remodeling procedure. A technique recently developed uses endoscope to perform a strip craniectomy conjunction with postoperative molding helmet guide growth. Few studies compare these 2 approaches treatment various forms craniosynostosis. In this study, we present single institution's experience and endoscope-assisted craniectomy. Methods This study is retrospective review 57 patients that underwent repair by either or techniques, compared operating room times, blood loss, volume transfused blood, length hospital stay, overall costs. Results The endoscopic performed on younger children (4.7 months vs 10.6 months, P = 0.001), shorter times (2 hours 13 minutes 5 42 minutes, lower estimated loss (74.4 mL 280.2 mL, less (90.6 226.9 mL), stays (1.2 days 4.9 days, decreased cost ($24,404 $42,744, 0.008) relative traditional approach. Conclusions Issues procedure primarily concerned regimen, specifically patient compliance (17.1% noncompliance rate) minor skin breakdown (5.7%). therapy cost-effective operative risk minimal morbidity. valuable option compliant caregivers.