Abstract
Lambdoid craniosynostosis leads to significant deformational changes of the calvaria and cranial fossae. Surgery used to treat the condition typically consists of a calvarial vault remodeling (CVR) procedure whereby the entire occiput is removed and reshaped along with a bandeau advancement to give the patient a rounded occiput. As an option, this video presents the minimally invasive endoscopic craniectomy used at the author's institution, which was developed there and has been successfully used for 25 years. This procedure is simple and can be done rapidly, with minimal to no blood loss. The video details the key steps necessary to successfully perform the procedure.The video can be found here: https://vimeo.com/515746378.
Highlights
Lambdoid craniosynostosis leads to significant deformational changes of the calvaria and cranial fossae
Presented in this video is our technique for performing endoscopic release of the lambdoid suture
A bloodless opening is made with the monopolar needle tip on cut mode set at 15 W
Summary
Lambdoid craniosynostosis leads to significant deformational changes of the calvaria and cranial fossae. Presented in this video is our technique for performing endoscopic release of the lambdoid suture. Surgical access to the stenosed lambdoid suture is done with two relatively small incisions that are strategically located. A bloodless opening is made with the monopolar needle tip on cut mode set at 15 W. The second incision is made medial to the affected asterion, as shown here.
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