Endoscopy-assisted craniosynostosis surgery followed by helmet therapy

BACKGROUND: Surgical methods to treat craniosynostosis have evolved from a simple strip craniectomy to a diverse spectrum of partial or complete cranial vault remodeling with excellent results but often with high comorbidity. Therefore, minimal invasive craniosynostosis surgery has been explored in...

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Autores principales: Delye, H. H. K., Borstlap, W. A., van Lindert, E. J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5875112/
https://www.ncbi.nlm.nih.gov/pubmed/29629226
http://dx.doi.org/10.4103/sni.sni_17_18
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author Delye, H. H. K.
Borstlap, W. A.
van Lindert, E. J.
author_facet Delye, H. H. K.
Borstlap, W. A.
van Lindert, E. J.
author_sort Delye, H. H. K.
collection PubMed
description BACKGROUND: Surgical methods to treat craniosynostosis have evolved from a simple strip craniectomy to a diverse spectrum of partial or complete cranial vault remodeling with excellent results but often with high comorbidity. Therefore, minimal invasive craniosynostosis surgery has been explored in the last few decades. The main goal of minimal invasive craniosynostosis surgery is to reduce the morbidity and invasiveness of classical surgical procedures, with equal long-term results, both functional as well as cosmetic. METHODS: To reach these goals, we adopted endoscopy-assisted craniosynostosis surgery (EACS) supplemented with helmet molding therapy in 2005. RESULTS: We present in detail our surgical technique used for scaphocephaly, trigonocephaly, plagiocephaly, complex multisutural, and syndromic cases of craniosynostosis. CONCLUSIONS: We conclude that EACS with helmet therapy is a safe and suitable treatment option for any type of craniosynostosis, if performed at an early age, preferably around 3 months of age.
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spelling pubmed-58751122018-04-06 Endoscopy-assisted craniosynostosis surgery followed by helmet therapy Delye, H. H. K. Borstlap, W. A. van Lindert, E. J. Surg Neurol Int Pediatric Neurosurgery: Original Article BACKGROUND: Surgical methods to treat craniosynostosis have evolved from a simple strip craniectomy to a diverse spectrum of partial or complete cranial vault remodeling with excellent results but often with high comorbidity. Therefore, minimal invasive craniosynostosis surgery has been explored in the last few decades. The main goal of minimal invasive craniosynostosis surgery is to reduce the morbidity and invasiveness of classical surgical procedures, with equal long-term results, both functional as well as cosmetic. METHODS: To reach these goals, we adopted endoscopy-assisted craniosynostosis surgery (EACS) supplemented with helmet molding therapy in 2005. RESULTS: We present in detail our surgical technique used for scaphocephaly, trigonocephaly, plagiocephaly, complex multisutural, and syndromic cases of craniosynostosis. CONCLUSIONS: We conclude that EACS with helmet therapy is a safe and suitable treatment option for any type of craniosynostosis, if performed at an early age, preferably around 3 months of age. Medknow Publications & Media Pvt Ltd 2018-03-07 /pmc/articles/PMC5875112/ /pubmed/29629226 http://dx.doi.org/10.4103/sni.sni_17_18 Text en Copyright: © 2018 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Pediatric Neurosurgery: Original Article
Delye, H. H. K.
Borstlap, W. A.
van Lindert, E. J.
Endoscopy-assisted craniosynostosis surgery followed by helmet therapy
title Endoscopy-assisted craniosynostosis surgery followed by helmet therapy
title_full Endoscopy-assisted craniosynostosis surgery followed by helmet therapy
title_fullStr Endoscopy-assisted craniosynostosis surgery followed by helmet therapy
title_full_unstemmed Endoscopy-assisted craniosynostosis surgery followed by helmet therapy
title_short Endoscopy-assisted craniosynostosis surgery followed by helmet therapy
title_sort endoscopy-assisted craniosynostosis surgery followed by helmet therapy
topic Pediatric Neurosurgery: Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5875112/
https://www.ncbi.nlm.nih.gov/pubmed/29629226
http://dx.doi.org/10.4103/sni.sni_17_18
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