Single incision endoscope-assisted surgery for sagittal craniosynostosis

Excerpt

The authors have presented a paper on endoscopic assisted strip craniectomies with a “novel” innovation of using a single incision. This paper provoked me to ask where are we going with the strip craniectomies. The request to provide an editorial on this paper arrived on my desk shortly after several meetings around the world in which I heard a number of various technical “strip” modifications being offered for the treatment of craniosynostosis. I have to admit I have again become more confused and totally baffled at what the “strippers” out there are doing in the sense of unification of a theme of surgical treatment. Why do I say this? Well, it has become quite clear that there is absolutely no consensus on what works and what does not in the technical challenges to “endoscopically assisted” surgery. As I have surveyed now, nearly a hundred national and international meetings, it has become very clear that there is no one way nor is there even close to one or two or three ways or more to take a child’s head apart using a tool that is conceptually more important to the surgery than the thinking that goes into the operation. …