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. 2021 Apr 1;4(2):V5.
doi: 10.3171/2021.1.FOCVID20123. eCollection 2021 Apr.

Minimally invasive strip craniectomy for metopic craniosynostosis using a lighted retractor

David S Hersh  1   2 , William A Lambert  3 , Markus J Bookland  1   2 , Jonathan E Martin  1   4
Affiliations

Minimally invasive strip craniectomy for metopic craniosynostosis using a lighted retractor

David S Hersh et al. Neurosurg Focus Video. .

Abstract

Surgical options for metopic craniosynostosis include the traditional open approach or a minimally invasive approach that typically involves an endoscopy-assisted strip craniectomy. The minimally invasive approach has been associated with less blood loss and operative time, a lower transfusion rate, and a shorter length of stay. Additionally, it is more cost-effective than open reconstruction, despite the need for a postoperative cranial orthosis and multiple follow-up visits. The authors describe a variation of the minimally invasive approach using a lighted retractor to perform a strip craniectomy of the metopic suture in a 2-month-old patient with metopic craniosynostosis. The video can be found here: https://vimeo.com/511237503.

Keywords: craniosynostosis; endoscope; metopic; minimally invasive; retractor.

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Conflict of interest statement

Disclosures The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this publication.

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