Endoscopic surgical treatment of bilateral coronal craniosynostosis.

Yasser Jeelani,Mark R Proctor

doi:10.3171/2021.1.focvid20136

Abstract

Endoscopic surgery for single-suture synostosis has been widely adopted since its introduction over 2 decades ago. Its role in syndromic synostosis is emerging, both as a primary treatment and as the first stage in a multimodal treatment paradigm aimed at preventing the vexing turribrachycephaly seen in these children. In this video, the authors review the technique for endoscopic treatment of bilateral coronal craniosynostosis and discuss both the benefits and some of the concerns to look out for over time. They also review the long-term outcomes in a consecutive series of patients treated in this fashion.The video can be found here: https://vimeo.com/516351348.

Highlights

Endoscopic surgery for single-suture synostosis has been widely adopted since its introduction over 2 decades ago
The rationale for early treatment in bilateral coronal synostosis is to prevent the development of turribrachycephaly in the first year of life
We have elected to release the fused coronal sutures to prevent the turricephaly, allow for frontal expansion, and ideally avoid a second and third operation, which is inherent in the distraction techniques

Summary

Introduction

Endoscopic surgery for single-suture synostosis has been widely adopted since its introduction over 2 decades ago. This video will review the technique, indications, and outcomes for the endoscopic surgical treatment of bilateral coronal craniosynostosis. 1:05 Rationale for Early Treatment in Bilateral Coronal Craniosynostosis.

Results

Conclusion