Endoscopic Treatment for Early Correction of Craniosynostosis in Children

Abstract

Initial treatments for craniosynostosis involved strip craniectomies, but due to unsatisfactory results in advanced stages, extensive cranial remodeling was introduced, despite its risks and prolonged hospital stays. Over the last 30 years, strip craniectomies have seen a revival, primarily due to the incorporation of minimally invasive endoscopic-assisted surgeries (EAS) as pioneered by Jiménez and Barone. EAS has shown marked advantages over older surgical methods, including shorter surgical times, reduced bleeding, and fewer hospitalization requirements, all while achieving comparable results in cranial deformity corrections. The most influential factor in perioperative morbidity is surgical time. EAS has emerged as a promising, effective treatment for craniosynostosis, suggesting its wider adoption in neurosurgical settings. Considering the relationship between age, surgical time, and blood loss, EAS may be suitably extended to children aged 6-12 months.

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