REVIEW  MINIMALLY INVASIVE AND MAXIMALLY EFFECTIVE NEUROSURGERY 

Journal of Neurosurgical Sciences 2018 December;62(6):745-64

DOI: 10.23736/S0390-5616.18.04483-1

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Minimally invasive approaches to craniosynostosis

Arjun V. PENDHARKAR ¹ ✉, Maryam N. SHAHIN ¹, Claudio CAVALLO ², Xiaochun ZHAO ², Allen L. HO ¹, Eric S. SUSSMAN ¹, Gerald A. GRANT ¹

¹ Division of Pediatric Neurosurgery, Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA; ² Department of Neurosurgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, AZ, USA

Craniosynostosis (CS) is defined as the premature fusion of one or more calvarial sutures. This carries several consequences, including abnormal/asymmetric cranial vault development, increased intracranial pressure, compromised neurocognitive development, and craniofacial deformity. Definitive management is surgical with the goal of protecting cerebral development by re-establishing normal cranial vault expansion and correcting cosmetic deformity. In today’s practice, CS surgery has advanced radically from simple craniectomies to major cranial vault reconstructive (CVR) procedures. More recently there has been considerable interest in endoscopic assisted surgery (EAS). Theoretical benefits include decreased operative time, morbidity, blood loss, postoperative pain, cost and faster recovery times. In this focused review, we summarize the current body of literature reporting clinical outcomes in EAS and review the data comparing EAS and CVR.

KEY WORDS: Craniosynostoses - Endoscopy - Minimally invasive surgical procedures