Purpose: This paper aims to present a 15-year experience treating coronal craniosynostosis with endoscopic-assisted techniques and postoperative cranial orthotic therapy. Methods: A total of 100 patients with coronal craniosynostosis were treated between 1996 and 2010. There were 36 males and 64 females. A single 2-cm incision was made halfway between anterior fontanelle and the squamosal on the affected side. Using endoscopic-assisted visualization, a strip of bone was removed between the aforementioned points. Following surgery, all patients were placed in cranial orthoses to assist in the correction of the craniofacial deformity. Results: Mean estimated blood loss was 20 cm 3; only one patient required a transfusion. Mean length of stay was 1 day. Mean surgery time was 54 min. There were no mortalities. There was significant correction of vertical dystopia (66 % from baseline) and midsagittal plane deviation (80 % from baseline). Conclusions: Endoscopic-assisted craniectomy for treatment of coronal craniosynostosis in very young infants followed by cranial molding is associated with excellent long-lasting results and minimal morbidity and no mortality.
- Cranial suture
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Clinical Neurology