Authors:	Fassl, Verena Ellermann, Laura Reichelt, Gabriele Pape, Phillipe Blecher, Christoph Hoffmann, Christian Ringel, Florian Al-Nawas, Bilal Heider, Julia Ottenhausen, Malte
Title:	Endoscopic treatment of sagittal suture synostosis : a critical analysis of current management strategies
Online publication date:	20-Dec-2022
Year of first publication:	2022
Language:	english
Abstract:	While many centers nowadays offer minimally invasive techniques for the treatment of single suture synostosis, surgical techniques and patient management vary significantly. We provide an overview of how scaphocephaly treated with endoscopic techniques is managed in the reported series and analyze the crucial steps that need to be dealt with during the management process. We performed a review of the published literature including all articles that examined sagittal-suture synostosis treated with endoscopic techniques as part of single- or multicenter studies. Fourteen studies reporting results of 885 patients were included. We identified 5 key steps in the management of patients. A total of 188 patients were female and 537 male (sex was only specified in 10 articles, for 725 included patients, respectively). Median age at surgery was between 2.6 and 3.9 months with a total range from 1.5 to 7.0 months. Preoperative diagnostics included clinical and ophthalmologic examinations as well as neuropsychological and genetic consultations if needed. In 5 publications, a CT scan was routinely performed. Several groups used anthropometric measurements, mostly the cephalic index. All groups analyzed equally recommended to perform endoscopically assisted craniosynostosis surgery with postoperative helmet therapy in children < 3 months of age, at least for non-syndromic cases. There exist significant variations in surgical techniques and patient management for children treated endoscopically for single suture sagittal synostosis. This heterogeneity constitutes a major problem in terms of comparability between different strategies.
DDC:	610 Medizin 610 Medical sciences
Institution:	Johannes Gutenberg-Universität Mainz
Department:	FB 04 Medizin
Place:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-8284
Version:	Published version
Publication type:	Zeitschriftenaufsatz
License:	CC BY
Information on rights of use:	https://creativecommons.org/licenses/by/4.0/
Journal:	Neurosurgical review 45
Pages or article number:	2533 2546
Publisher:	Springer
Publisher place:	Berlin u.a.
Issue date:	2022
ISSN:	1437-2320
Publisher DOI:	10.1007/s10143-022-01762-y
Appears in collections:	DFG-491381577-H