Endoscopic strip craniectomy: a minimally invasive treatment for early correction of craniosynostosis.

Cathy C. Cartwright, David F. Jimenez, Constance M. Barone, Lynette Baker

Research output: Contribution to journalArticle

41 Scopus citations

Abstract

Traditionally, surgical correction of craniosynostosis involves calvarial remodeling, large blood losses necessitating transfusions, hospital stays of several days, and less-than-satisfactory results. In this study, outcomes from a minimally invasive technique called endoscopic strip craniectomy, along with a postoperative molding helmet, to correct craniosynostosis in young infants were evaluated. The endoscopic strip craniectomy was performed on 185 patients with clinical signs of craniosynostosis, with the following distribution: 107 sagittal, 42 coronal, 37 metopic, and 7 lambdoid, for a total of 198 sutures. The mean blood loss was 29.4 cc, and only two patients underwent intraoperative blood transfusion. Fourteen patients underwent postoperative blood transfusion; none was life-threatening. There were no deaths, complications, neurological injuries, or infections. All but six patients were discharged on the first postoperative day. A majority of the patients achieved or approached normocephaly, and there were no complications. Neuroscience nurses need to be aware of this technique when they discuss treatment options with the families of infants with craniosynostosis.

Original languageEnglish (US)
Pages (from-to)130-138
Number of pages9
JournalThe Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
Volume35
Issue number3
DOIs
StatePublished - Jun 2003

ASJC Scopus subject areas

  • Surgery
  • Endocrine and Autonomic Systems
  • Clinical Neurology
  • Medical–Surgical

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