{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T10:54:46Z","timestamp":1789728886330,"version":"4.0.1"},"reference-count":27,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Historically, bilateral frontoorbital advancement (FOA) has been the keystone for treatment of turribrachycephaly caused by bilateral coronal synostosis. Early endoscopic suturectomy has become a popular technique for treatment of single-suture synostosis, with acceptable results and minimal perioperative morbidity. Boston Children's Hospital has adopted this method of treating early-presenting cases of bilateral coronal synostosis.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>A retrospective review of patients with bilateral coronal craniosynostosis who were treated with endoscopic suturectomy between 2005 and 2012 was completed. Patients were operated on between 1 and 4 months of age. Hospital records were reviewed for perioperative morbidity, length of stay, head circumference and cephalic indices, and the need for further surgery.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Eighteen patients were identified, 8 males and 10 females, with a mean age at surgery of 2.6 months (range 1\u20134 months). Nine patients had syndromic craniosynostosis. The mean duration of surgery was 73.3 minutes (range 50\u201393 minutes). The mean blood loss was 40 ml (range 20\u2013100 ml), and 2 patients needed a blood transfusion. The mean duration of hospital stay was 1.2 days (range 1\u20132 days). There was 1 major complication in the form of a CSF leak. The mean follow-up was 37 months (range 6\u2013102 months). Eleven percent of nonsyndromic patients required a subsequent FOA; 55.6% of syndromic patients underwent FOA. The head circumference percentiles and cephalic indices improved significantly.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Early endoscopic suturectomy successfully treats the majority of patients with bilateral coronal synostosis, and affords a short procedure time, a brief hospital stay, and an expedited recovery. Close follow-up is needed to detect patients who will require a secondary FOA due to progressive suture fusion or resynostosis of the released coronal sutures.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2016.2.peds15693","type":"journal-article","created":{"date-parts":[[2016,5,21]],"date-time":"2016-05-21T16:42:12Z","timestamp":1463848932000},"page":"281-286","source":"Crossref","is-referenced-by-count":51,"title":["Outcomes of endoscopic suturectomy with postoperative helmet therapy in bilateral coronal craniosynostosis"],"prefix":"10.3171","volume":"18","author":[{"given":"S. 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