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Acta Neurochir (Wien). 2017 Nov;159(11):2067-2070. doi: 10.1007/s00701-017-3333-7. Epub 2017 Sep 24.

How I do it. 3D endoscopic treatment of metopic craniosynostosis through a single incision.

Author information

1
Division of Neurosurgery, Department of Surgery, University Hospital La Princesa, C/Diego de León 32, 28006, Madrid, Spain. juan.delgado.fdez@gmail.com.
2
Division of Neurosurgery, Department of Surgery, University Hospital Virgen del Rocío, Seville, Spain.

Abstract

BACKGROUND:

Endoscopic approaches for craniosynostosis are a growing field in pediatric neurosurgery. In metopic synostosis, previous reports for complete fronto-orbital remodeling have proposed an intervention with multiple incisions (bregmatic, tarsal, and preauricular) to open frontonasal and frontoethmoidal synostotic sutures, and orbital roof.

METHODS:

We propose a technique to complete all these osteotomies with a unique incision anterior to the bregmatic fontanel under 3D endoscopic vision, and review possible complications, limits, and pitfalls.

CONCLUSIONS:

Under endoscopic assistance, a complete fronto-orbital remodeling could be completed with a unique incision without mayor drawbacks.

KEYWORDS:

Craniosynostosis; Endoscopic surgery; Metopic suturectomy; Trigonocephaly

PMID:
28942576
DOI:
10.1007/s00701-017-3333-7
[Indexed for MEDLINE]

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