Characteristics of Endoscopic
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.