Spring-assisted minimally invasive repair of sagittal craniosynostosis.

Lance S Governale,Jessica A Ching

doi:10.3171/2021.1.focvid20103

Abstract

Craniosynostosis surgery is intended to repair cranial deformity, reduce the risk of increased intracranial pressure from cephalocranial disproportion, and reduce the risk of developmental delays. In recent years, minimally invasive surgical techniques have been developed to achieve these goals with less tissue disruption, lower rates of transfusion, and shorter recovery time. The operation focuses on unlocking the fused bones, while reshaping relies on an adjunct, most commonly a postoperative cranial molding helmet. As an alternative to the care-intensive helmeting process, reshaping with implanted cranial expander springs has emerged. In this video, the authors demonstrate their technique for spring-assisted minimally invasive repair of sagittal craniosynostosis.The video can be found here: https://vimeo.com/513923721

Highlights

This case demonstrates our technique for spring-assisted minimally invasive repair of sagittal craniosynostosis
Spring-assisted craniosynostosis surgery was first developed by Dr Claes Lauritzen in Sweden and later brought to the United States by Dr Lisa David at Wake Forest.[1,2]
The endotracheal tube emerges midline, and the ventilation circuit is secured to the headrest system with an elastic tourniquet

Summary

FOCUS VIDEO

Craniosynostosis surgery is intended to repair cranial deformity, reduce the risk of increased intracranial pressure from cephalocranial disproportion, and reduce the risk of developmental delays. As an alternative to the care-intensive helmeting process, reshaping with implanted cranial expander springs has emerged. In this video, the authors demonstrate their technique for springassisted minimally invasive repair of sagittal craniosynostosis. This case demonstrates our technique for spring-assisted minimally invasive repair of sagittal craniosynostosis. Adhesive occlusive “thousand” drapes [3M] are placed around a wide prep area to minimize the risk of liquids entering the eyes or loosening the endotracheal tube tape.

Governale and Ching

Author Contributions