Smyth Matthew D, Patel Kamlesh B
Department of Neurosurgery and.
Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, Missouri.
Neurosurg Focus Video. 2021 Apr 1;4(2):V9. doi: 10.3171/2021.1.FOCVID2044. eCollection 2021 Apr.
The craniofacial team at St. Louis Children's Hospital has been performing endoscopy-assisted synostosis surgery since 2006. Most infants with single-suture synostosis younger than 6 months of age are candidates. The sphinx position is used, with two incisions: one posterior to the bregma and one anterior to the lambda. The endoscope is incorporated primarily for epidural dissection and bone edge cauterization. Blood products are available but rarely needed with single suturectomies. Patients are managed on the floor after surgery and discharged to home on postoperative day 1, with helmet therapy coordinated and initiated immediately after surgery and continued until about 12 months of age. The video can be found here: https://vimeo.com/513939623.
自2006年以来，圣路易斯儿童医院的颅面外科团队一直在开展内镜辅助的颅骨缝早闭手术。大多数6个月以下的单缝颅骨缝早闭婴儿适合该手术。采用斯芬克斯体位，有两个切口：一个在囟门后方，一个在人字缝前方。内窥镜主要用于硬膜外剥离和骨边缘烧灼。有血制品可供使用，但单缝切除术很少需要。患者术后在病房接受护理，术后第1天出院回家，术后立即协调并开始头盔治疗，持续至约12个月大。视频可在此处查看：https://vimeo.com/513939623 。
