Endoscopic-assisted repair for sagittal synostosis

Matthew Smyth, Kamlesh B. Patel

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


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.

Original languageEnglish
JournalNeurosurgical Focus: Video
Issue number2
StatePublished - Apr 2021


  • craniosynostosis
  • endoscopy-assisted
  • sagittal
  • strip craniectomy


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