Endoscopic-assisted craniosynostosis surgery: First case series in India

Mendonca, Derick A.; Ramamurthy, Venkat; Gopal, Swaroop; Gujjalanavar, Rajendra S

doi:10.4103/jclpca.jclpca_28_18

Cited by 5 publications

(16 citation statements)

References 12 publications

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“…Most of the sutures involved were the anterior sutures (metopic and coronal). The mean age at surgery in the endoscopic group was 3.7 months (3-5) and higher at 11.5 months (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) in the open group (P < .05). The duration of surgery, blood loss and overall length of hospital stay were significantly reduced in the endoscopic group (P < .05).…”

Section: Resultsmentioning

confidence: 89%

“…We have now moved to only strip excisions ( Figure 5) of the involved suture (2 cm wide), as other authors have described. 8 Helmet therapy forms a critical component of success in the endoscopic technique. From our experience, careful counselling of parents about the expected benefits and potential poor outcomes from noncompliance, has resulted in improved parental motivation.…”

Section: Face 1(2)mentioning

confidence: 99%

“…[7][8][9][10] Minimally invasive techniques are gaining popularity due to their short incisions, reduced morbidity, quick recovery and relative safety. [7][8][9][10] In developing countries, internet penetration is increasing, along with increased acceptance of new technologies. Parents are using FACE 1 (2) the internet to research latest technical advances and are keen to seek treatment early.…”

Section: Introductionmentioning

confidence: 99%

“…The authors published their initial experience with the endoscopic assisted technique in 2019. 8 Following their reports, an increased trend of referrals has been noted by the team, desiring a minimally invasive option that can be offered at an early stage. Based on our initial experience, the technique was found to be safe, reliable and effective in all non-syndromic craniosynostosis patients.…”

Section: Introductionmentioning

confidence: 99%

“…Based on our initial experience, the technique was found to be safe, reliable and effective in all non-syndromic craniosynostosis patients. 8 There are no safety outcome studies in the South East Asian literature, although there are reports of individual teams performing craniofacial surgery. 3 The objective of this study is to evaluate the safety profile of patients who underwent both the endoscopic assisted and open surgery techniques for anterior craniosynostosis from a single craniofacial team.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Endoscopic Versus Open Cranial Reconstruction Surgery for Anterior Craniosynostosis: Experience from South-East Asia

Mendonca

Gopal²,

Gujjalanavar³

et al. 2020

FACE

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Introduction and objective: Craniosynostosis is a pathological condition resulting from premature closure of cranial sutures. Open cranial vault reconstruction has been the standard of care for isolated non-syndromic craniosynostosis. The current centre introduced the endoscopic craniosynostosis surgery in 2015. The aim of the study is to compare safety outcomes of endoscopic versus open surgery in craniosynostosis within the context of a developing healthcare system, with a focus on anterior synostosis. Methods: This was a retrospective study of all patients undergoing surgery for anterior craniosynostosis from 2012 to 2018 at a single institution. Data on age at surgery, demographics, sutures, surgery duration and complications, including follow up information was obtained. We excluded syndromic patients and patients with pan-synostosis. Statistical analysis was undertaken with P value set at <.05. Results: There were totally 40 patients who underwent craniosynostosis surgery. Seventeen patients underwent endoscopic correction, and 23 open procedures. Metopic and coronal suture patients were equally distributed, with an equal sex distribution. The mean age at surgery in the endoscopic group was 3.7 months (3-5) and higher at 11.5 months (8-18) in the open group ( P < .05). The duration of surgery, blood loss and overall length of hospital stay were significantly reduced in the endoscopic group ( P < .05). In the endoscopic cohort, patients with metopic synostosis obtained complete correction, while patients with unicoronal synostosis had minor residual frontal asymmetry. There were no immediate post-operative complications in the endoscopic group, but the open surgery cohort had minor dural tears in 6 patients. Conclusion: The endoscopic technique has a better safety profile than open surgery for craniosynostosis and results in a complete correction in patients with metopic and bicoronal craniosynostosis.

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