Early management of XXXX using endoscopic-assisted strip craniectomies and cranial orthotic molding therapy.

@entity1 @entity2122 @entity190 @entity16 @entity5173 @entity91
OBJECTIVE: To assess the safety, efficacy, and results of the early treatment of @entity1 with @entity91 using minimally invasive endoscopic strip craniectomies and postoperative helmet molding therapy. METHODS: A total of 100 @entity1 with documented diagnosis of @entity91 were prospectively studied and treated with endoscopic strip craniectomies. A total of 106 stenosed sutures were operated on with the following distribution: 61 sagittal, 23 coronal, 18 metopic, and 4 lambdoid sutures. Sixty-three @entity1 were treated under 16 weeks of age. After surgery, all @entity1 were treated with custom-made molding helmets for up to 7 months. Follow-up ranged between 4 months and 50 months. RESULTS: All @entity1 underwent the surgical procedures successfully and without complications. The mean surgical operative time was 52.7 minutes. The mean estimated @entity190 was 26.2 mL; only 1 @entity1 underwent intraoperative blood transfusion, and 10 @entity1 had a non- life-threatening postoperative blood transfusion. All but 3 @entity1 were discharged on the first postoperative day. There were no infections, dural sinus tears, @entity5173 , or @entity16 , and there were no significant complications related to the use of helmet therapy. Most @entity1 have achieved or are in the process of reaching normalization of their @entity2122 . CONCLUSIONS: The results indicate that the early treatment of @entity91 with minimally invasive endoscopic strip craniectomies is a safe, efficacious, and valuable therapeutic alternative to the current extensive surgical treatment modalities. The significantly less @entity190 , need for blood transfusions, and length of stay and decreased costs make this procedure an excellent early option for treating @entity1 who present with @entity91 .
