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How I do it. 3D endoscopic treatment of metopic craniosynostosis through a single incision

  • How I Do it - Pediatrics
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Abstract

Background

Endoscopic approaches for craniosynostosis are a growing field in pediatric neurosurgery. In metopic synostosis, previous reports for complete fronto-orbital remodeling have proposed an intervention with multiple incisions (bregmatic, tarsal, and preauricular) to open frontonasal and frontoethmoidal synostotic sutures, and orbital roof.

Methods

We propose a technique to complete all these osteotomies with a unique incision anterior to the bregmatic fontanel under 3D endoscopic vision, and review possible complications, limits, and pitfalls.

Conclusions

Under endoscopic assistance, a complete fronto-orbital remodeling could be completed with a unique incision without mayor drawbacks.

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Authors and Affiliations

  1. Division of Neurosurgery, Department of Surgery, University Hospital La Princesa, C/Diego de León 32, 28006, Madrid, Spain

    Juan Delgado-Fernández

  2. Division of Neurosurgery, Department of Surgery, University Hospital Virgen del Rocío, Seville, Spain

    Mónica Rivero-Garvía & Javier Márquez-Rivas

Authors
  1. Juan Delgado-Fernández
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  2. Mónica Rivero-Garvía
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  3. Javier Márquez-Rivas
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Corresponding author

Correspondence to Juan Delgado-Fernández.

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Conflict of interest

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

Informed consent was obtained from all individual participants included in the study.

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Delgado-Fernández, J., Rivero-Garvía, M. & Márquez-Rivas, J. How I do it. 3D endoscopic treatment of metopic craniosynostosis through a single incision. Acta Neurochir 159, 2067–2070 (2017). https://doi.org/10.1007/s00701-017-3333-7

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  • DOI: https://doi.org/10.1007/s00701-017-3333-7

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