Characteristics of        Endoscopic  
Strip Craniectomy  

    By using endoscopes, instruments with   cameras attached, two incisions are made
in the scalp, depending on which sutures are involved.
A strip of fused suture is removed.

Surgical time is forty to fifty minutes. No or limited blood transfusions are needed.

There are excellent results with extremely low morbidity and no mortalities.

No swelling, no dural sinus tears,
no infections, no cerebrospinal fluid leaks
or neurosurgical injuries .
The patient is discharged from hospital
the next morning
The best outcomes and excellent results
are due to a combination of early release
of sutures in patients younger than three months of age and  postoperative helmet therapy.







 









 


 
  Nevertheless, very good results can be obtained,

  even with patients treated six or more months

  with appropriate postoperative helmet therapy.

 

  It doesn’t replace traditional cranial vault

  remodeling in older patients.

















 




 


 

 

 

 

 

The Lit


 
 














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Characteristic of Traditional Calvarian Vault Remodeling

A zigzag pattern is cut from ear to ear across the top of baby’s scalp, skull is exposed, bones removed, reconfigure and reattached.

Subsequence surgery is needed in most cases and the skull may never look normal. Surgical time is 3-6 hours.

Blood transfusions are universal

Long hospital stay, fevers, scalp and facial swelling, pain are seen.

Another difficulties with calvarian vault  remodeling are improper skull  reossification, palpable and visible “bumps and lumps”, loosening of titanium screw, wires and plates which have been found to migrate through the bone dura and into the brain, necessitating removal, cyst formation around them was also reported. In recent years these problems have been addressed by use of an absorbable plates.

No helmet therapy is needed after the surgery.