Ultra-early synostectomy and cranial remodeling orthoses in the management of craniosynostoses

OBJECTIVE The advent of endoscopic synostectomy has enabled early surgery for infants with craniosynostosis. Even though diagnosis is often made at birth, traditionally been delayed until the infant 3 months age. There have very few published reports this procedure being performed in neonatal period. authors discuss their experience ultra-early synostectomy, defined as an operation aged 8 weeks or younger. METHODS A retrospective analysis who underwent operations before age between 2011 and 2020 was done. RESULTS Twenty-five operations: 11 were 2 younger, 4 age, 6 5 weighed 2.25 4.8 kg. Eighteen had single-suture synostosis, 7 multiple sutures involved. Of these 7, syndromic average operative time 35 minutes, it less than 40 minutes 19 cases. estimated blood loss 25 ml cases; required intraoperative transfusion. In 1 child multisuture craniosynostosis, staged due to loss. Two children experienced complications related procedure: one incidental durotomy skin infection, other postoperative kernicterus. All fitted cranial remodeling orthoses following surgery. Three reoperations, patients craniosynostosis needing repeat volume expansion cosmetic appearance. Another awaiting Follow-up varied years. CONCLUSIONS data show that safe not associated increased compared Infants synostosis time, transfusion, more likely require a second operation.