{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T02:05:09Z","timestamp":1783217109745,"version":"3.54.6"},"reference-count":38,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4]]},"abstract":"\n OBJECTIVE<\/jats:title>\n The advent of endoscopic synostectomy has enabled early surgery for infants with craniosynostosis. Even though diagnosis is often made at birth, endoscopic synostectomy has traditionally been delayed until the infant is 3 months of age. There have been very few published reports of this procedure being performed in the early neonatal period. The authors discuss their experience with ultra-early endoscopic synostectomy, defined as an operation for infants aged 8 weeks or younger.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n A retrospective analysis of infants who underwent operations at or before 8 weeks of age between 2011 and 2020 was done.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n Twenty-five infants underwent operations: 11 were 2 weeks of age or younger, 8 were between 3 and 4 weeks of age, and 6 were between 5 and 8 weeks of age. The infants weighed between 2.25 and 4.8 kg. Eighteen had single-suture synostosis, and 7 had multiple sutures involved. Of these 7, 4 had syndromic craniosynostosis. The average operative time was 35 minutes, and it was less than 40 minutes in 19 cases. The estimated operative blood loss was 25 ml or less in 19 cases; 5 infants required an intraoperative blood transfusion. In 1 child with syndromic multisuture craniosynostosis, the surgery was staged due to blood loss. Two children experienced complications related to the procedure: one had an incidental durotomy with skin infection, and the other had postoperative kernicterus. All infants were fitted for cranial remodeling orthoses following surgery. Three of the 25 infants required reoperations, with 2 patients with syndromic craniosynostosis needing repeat surgery for cranial volume expansion and cosmetic appearance. Another child with syndromic craniosynostosis is awaiting cranial expansion surgery. Follow-up varied between 6 months and 8 years.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n The data show that ultra-early synostectomy is safe and not associated with increased complications compared with surgery performed between 3 and 6 months of age. Infants with multisuture synostosis had increased operative time, required blood transfusion, and were more likely to require a second operation.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2021.1.focus201014","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T07:46:46Z","timestamp":1617263206000},"page":"E8","source":"Crossref","is-referenced-by-count":13,"title":["Ultra-early synostectomy and cranial remodeling orthoses in the management of craniosynostoses"],"prefix":"10.3171","volume":"50","author":[{"given":"Aaron","family":"Mohanty","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas S.","family":"Frank","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharif","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Anesthesiology, University of Texas Medical Branch at Galveston; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristalynne","family":"Godwin","sequence":"additional","affiliation":[{"name":"Departments of Anesthesiology and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gautam G.","family":"Malkani","sequence":"additional","affiliation":[{"name":"Pediatrics, HCA Houston Health Care Clear Lake, Webster, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"77","DOI":"10.3171\/jns.1998.88.1.0077","article-title":"Endoscopic craniectomy for early surgical correction of sagittal craniosynostosis","volume":"88","author":"Jimenez DF","year":"1998","unstructured":"Jimenez DF, Barone CM. Endoscopic craniectomy for early surgical correction of sagittal craniosynostosis. J Neurosurg. 1998;88(1):77\u201381.10.3171\/jns.1998.88.1.00779420076"},{"issue":"1 Pt 1","key":"b2","series-title":"Pediatrics","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1542\/peds.110.1.97","article-title":"Early management of craniosynostosis using endoscopic-assisted strip craniectomies and cranial orthotic molding therapy","volume":"110","author":"Jimenez DF","year":"2002","unstructured":"Jimenez DF, Barone CM, Cartwright CC, Baker L. Early management of craniosynostosis using endoscopic-assisted strip craniectomies and cranial orthotic molding therapy. Pediatrics. 2002;110(1 Pt 1):97\u2013104.10.1542\/peds.110.1.9712093953"},{"issue":"6","key":"b3","series-title":"Anesthesiology","doi-asserted-by":"publisher","first-page":"1393","DOI":"10.1097\/ALN.0b013e318254d471","article-title":"Neonatal craniosynostosis: considerations","volume":"116","author":"Mayorga-Buiza MJ","year":"2012","unstructured":"Mayorga-Buiza MJ, Rivero-Garv\u00eda M, Mar\u00edn-Hern\u00e1ndez F, . Neonatal craniosynostosis: considerations. Anesthesiology. 2012;116(6):1393.10.1097\/ALN.0b013e318254d47122617198"},{"issue":"2","key":"b4","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1001\/jama.1892.02411060019001f","article-title":"Pioneer craniectomy for relief of mental imbecility due to premature sutural closure and microcephalus","volume":"18","author":"Lane LC","year":"1892","unstructured":"Lane LC. Pioneer craniectomy for relief of mental imbecility due to premature sutural closure and microcephalus. JAMA. 1892;18(2):49\u201350.10.1001\/jama.1892.02411060019001f"},{"issue":"5","key":"b5","series-title":"Anesthesiology","doi-asserted-by":"publisher","first-page":"1103","DOI":"10.1097\/ALN.0b013e31822c5d4e","article-title":"Neonatal craniosynostosis","volume":"115","author":"Abouleish AE","year":"2011","unstructured":"Abouleish AE. Neonatal craniosynostosis. Anesthesiology. 2011;115(5):1103.10.1097\/ALN.0b013e31822c5d4e21804379"},{"issue":"7","key":"b6","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1007\/BF00395087","article-title":"Synostectomy versus complex cranioplasty for the treatment of sagittal synostosis","volume":"12","author":"Boop FA","year":"1996","unstructured":"Boop FA, Shewmake K, Chadduck WM. Synostectomy versus complex cranioplasty for the treatment of sagittal synostosis. Childs Nerv Syst. 1996;12(7):371\u2013375.886977210.1007\/BF00395087"},{"issue":"6","key":"b7","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"674","DOI":"10.3171\/2016.6.PEDS1623","article-title":"Endoscope-assisted management of sagittal synostosis: wide vertex suturectomy and barrel stave osteotomies versus narrow vertex suturectomy","volume":"25","author":"Dlouhy BJ","year":"2016","unstructured":"Dlouhy BJ, Nguyen DC, Patel KB, . Endoscope-assisted management of sagittal synostosis: wide vertex suturectomy and barrel stave osteotomies versus narrow vertex suturectomy. J Neurosurg Pediatr. 2016;25(6):674\u2013678.2761189910.3171\/2016.6.PEDS1623"},{"issue":"4","key":"b8","series-title":"J Craniofac Surg","doi-asserted-by":"publisher","first-page":"1251","DOI":"10.1097\/SCS.0000000000001651","article-title":"Operative management of nonsyndromic sagittal synostosis: a head-to-head meta-analysis of outcomes comparing 3 techniques","volume":"26","author":"Gerety PA","year":"2015","unstructured":"Gerety PA, Basta MN, Fischer JP, Taylor JA. Operative management of nonsyndromic sagittal synostosis: a head-to-head meta-analysis of outcomes comparing 3 techniques. J Craniofac Surg. 2015;26(4):1251\u20131257.10.1097\/SCS.000000000000165126080168"},{"issue":"2","key":"b9","series-title":"J Clin Invest","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1172\/JCI107943","article-title":"The postnatal decline of hemoglobin F synthesis in normal full-term infants","volume":"55","author":"Bard H","year":"1975","unstructured":"Bard H. The postnatal decline of hemoglobin F synthesis in normal full-term infants. J Clin Invest. 1975;55(2):395\u2013398.112710610.1172\/JCI107943"},{"issue":"2","key":"b10","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"120","DOI":"10.3171\/2018.2.PEDS17717","article-title":"Incomplete reossification after craniosynostosis surgery-incidence and analysis of risk factors: a clinical-radiological assessment study","volume":"22","author":"Thenier-Villa JL","year":"2018","unstructured":"Thenier-Villa JL, Sanrom\u00e1n-\u00c1lvarez P, Miranda-Lloret P, Plaza Ram\u00edrez ME. Incomplete reossification after craniosynostosis surgery-incidence and analysis of risk factors: a clinical-radiological assessment study. J Neurosurg Pediatr. 2018;22(2):120\u2013127.10.3171\/2018.2.PEDS1771729799353"},{"issue":"4","key":"b11","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1227\/00006123-199010000-00006","article-title":"Radical osteoclastic craniectomy in sagittal synostosis","volume":"27","author":"Hassler W","year":"1990","unstructured":"Hassler W, Zentner J. Radical osteoclastic craniectomy in sagittal synostosis. Neurosurgery. 1990;27(4):539\u2013543.10.1227\/00006123-199010000-000062234355"},{"issue":"4","key":"b12","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"977","DOI":"10.1097\/01.prs.0000232353.44086.af","article-title":"Age-dependent closure of bony defects after frontal orbital advancement","volume":"118","author":"Paige KT","year":"2006","unstructured":"Paige KT, Vega SJ, Kelly CP, . Age-dependent closure of bony defects after frontal orbital advancement. Plast Reconstr Surg. 2006;118(4):977\u2013984.10.1097\/01.prs.0000232353.44086.af16980860"},{"issue":"9","key":"b13","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"1333","DOI":"10.1007\/s00381-012-1768-y","article-title":"Endoscopic technique for sagittal synostosis","volume":"28","author":"Jimenez DF","year":"2012","unstructured":"Jimenez DF, Barone CM. Endoscopic technique for sagittal synostosis. Childs Nerv Syst. 2012;28(9):1333\u20131339.10.1007\/s00381-012-1768-y22872245"},{"issue":"4","key":"b14","series-title":"Curr Opin Otolaryngol Head Neck Surg","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1097\/MOO.0000000000000069","article-title":"Latest trends in minimally invasive synostosis surgery: a review","volume":"22","author":"Sanger C","year":"2014","unstructured":"Sanger C, David L, Argenta L. Latest trends in minimally invasive synostosis surgery: a review. Curr Opin Otolaryngol Head Neck Surg. 2014;22(4):316\u2013321.10.1097\/MOO.000000000000006924927379"},{"issue":"8","key":"b15","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"1349","DOI":"10.1007\/s00381-017-3427-9","article-title":"Relationship between starting age of cranial-remolding-orthosis therapy and effectiveness of treatment in children with deformational plagiocephaly","volume":"33","author":"Han MH","year":"2017","unstructured":"Han MH, Kang JY, Han HY, . Relationship between starting age of cranial-remolding-orthosis therapy and effectiveness of treatment in children with deformational plagiocephaly. Childs Nerv Syst. 2017;33(8):1349\u20131356.2848486610.1007\/s00381-017-3427-9"},{"issue":"3","key":"b16","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1159\/000317257","article-title":"The risk of growing skull fractures in craniofacial patients","volume":"46","author":"Keshavarzi S","year":"2010","unstructured":"Keshavarzi S, Meltzer H, Cohen SR, . The risk of growing skull fractures in craniofacial patients. Pediatr Neurosurg. 2010;46(3):193\u2013198.10.1159\/00031725720962552"},{"issue":"1","key":"b17","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"91","DOI":"10.3171\/2017.2.PEDS16710","article-title":"Endoscopic surgery for patients with syndromic craniosynostosis and the requirement for additional open surgery","volume":"20","author":"Hersh DS","year":"2017","unstructured":"Hersh DS, Hoover-Fong JE, Beck N, . Endoscopic surgery for patients with syndromic craniosynostosis and the requirement for additional open surgery. J Neurosurg Pediatr. 2017;20(1):91\u201398.2847498310.3171\/2017.2.PEDS16710"},{"issue":"3","key":"b18","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"223","DOI":"10.3171\/2009.10.PEDS09216","article-title":"Multiple-suture nonsyndromic craniosynostosis: early and effective management using endoscopic techniques","volume":"5","author":"Jimenez DF","year":"2010","unstructured":"Jimenez DF, Barone CM. Multiple-suture nonsyndromic craniosynostosis: early and effective management using endoscopic techniques. J Neurosurg Pediatr. 2010;5(3):223\u2013231.2019263710.3171\/2009.10.PEDS09216"},{"issue":"3","key":"b19","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1007\/s00381-011-1621-8","article-title":"Early endoscopy-assisted treatment of multiple-suture craniosynostosis","volume":"28","author":"Rivero-Garv\u00eda M","year":"2012","unstructured":"Rivero-Garv\u00eda M, Marquez-Rivas J, Rueda-Torres AB, Ollero-Ortiz A. Early endoscopy-assisted treatment of multiple-suture craniosynostosis. Childs Nerv Syst. 2012;28(3):427\u2013431.2203815510.1007\/s00381-011-1621-8"},{"issue":"1","key":"b1","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"77","DOI":"10.3171\/jns.1998.88.1.0077","article-title":"Endoscopic craniectomy for early surgical correction of sagittal craniosynostosis","volume":"88","author":"Jimenez DF","year":"1998","unstructured":"Jimenez DF, Barone CM. Endoscopic craniectomy for early surgical correction of sagittal craniosynostosis. J Neurosurg. 1998;88(1):77\u201381.10.3171\/jns.1998.88.1.00779420076"},{"issue":"1 Pt 1","key":"b2","series-title":"Pediatrics","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1542\/peds.110.1.97","article-title":"Early management of craniosynostosis using endoscopic-assisted strip craniectomies and cranial orthotic molding therapy","volume":"110","author":"Jimenez DF","year":"2002","unstructured":"Jimenez DF, Barone CM, Cartwright CC, Baker L. Early management of craniosynostosis using endoscopic-assisted strip craniectomies and cranial orthotic molding therapy. Pediatrics. 2002;110(1 Pt 1):97\u2013104.10.1542\/peds.110.1.9712093953"},{"issue":"6","key":"b3","series-title":"Anesthesiology","doi-asserted-by":"publisher","first-page":"1393","DOI":"10.1097\/ALN.0b013e318254d471","article-title":"Neonatal craniosynostosis: considerations","volume":"116","author":"Mayorga-Buiza MJ","year":"2012","unstructured":"Mayorga-Buiza MJ, Rivero-Garv\u00eda M, Mar\u00edn-Hern\u00e1ndez F, . Neonatal craniosynostosis: considerations. Anesthesiology. 2012;116(6):1393.10.1097\/ALN.0b013e318254d47122617198"},{"issue":"2","key":"b4","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1001\/jama.1892.02411060019001f","article-title":"Pioneer craniectomy for relief of mental imbecility due to premature sutural closure and microcephalus","volume":"18","author":"Lane LC","year":"1892","unstructured":"Lane LC. Pioneer craniectomy for relief of mental imbecility due to premature sutural closure and microcephalus. JAMA. 1892;18(2):49\u201350.10.1001\/jama.1892.02411060019001f"},{"issue":"5","key":"b5","series-title":"Anesthesiology","doi-asserted-by":"publisher","first-page":"1103","DOI":"10.1097\/ALN.0b013e31822c5d4e","article-title":"Neonatal craniosynostosis","volume":"115","author":"Abouleish AE","year":"2011","unstructured":"Abouleish AE. Neonatal craniosynostosis. Anesthesiology. 2011;115(5):1103.10.1097\/ALN.0b013e31822c5d4e21804379"},{"issue":"7","key":"b6","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1007\/BF00395087","article-title":"Synostectomy versus complex cranioplasty for the treatment of sagittal synostosis","volume":"12","author":"Boop FA","year":"1996","unstructured":"Boop FA, Shewmake K, Chadduck WM. Synostectomy versus complex cranioplasty for the treatment of sagittal synostosis. Childs Nerv Syst. 1996;12(7):371\u2013375.886977210.1007\/BF00395087"},{"issue":"6","key":"b7","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"674","DOI":"10.3171\/2016.6.PEDS1623","article-title":"Endoscope-assisted management of sagittal synostosis: wide vertex suturectomy and barrel stave osteotomies versus narrow vertex suturectomy","volume":"25","author":"Dlouhy BJ","year":"2016","unstructured":"Dlouhy BJ, Nguyen DC, Patel KB, . Endoscope-assisted management of sagittal synostosis: wide vertex suturectomy and barrel stave osteotomies versus narrow vertex suturectomy. J Neurosurg Pediatr. 2016;25(6):674\u2013678.2761189910.3171\/2016.6.PEDS1623"},{"issue":"4","key":"b8","series-title":"J Craniofac Surg","doi-asserted-by":"publisher","first-page":"1251","DOI":"10.1097\/SCS.0000000000001651","article-title":"Operative management of nonsyndromic sagittal synostosis: a head-to-head meta-analysis of outcomes comparing 3 techniques","volume":"26","author":"Gerety PA","year":"2015","unstructured":"Gerety PA, Basta MN, Fischer JP, Taylor JA. Operative management of nonsyndromic sagittal synostosis: a head-to-head meta-analysis of outcomes comparing 3 techniques. J Craniofac Surg. 2015;26(4):1251\u20131257.10.1097\/SCS.000000000000165126080168"},{"issue":"2","key":"b9","series-title":"J Clin Invest","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1172\/JCI107943","article-title":"The postnatal decline of hemoglobin F synthesis in normal full-term infants","volume":"55","author":"Bard H","year":"1975","unstructured":"Bard H. The postnatal decline of hemoglobin F synthesis in normal full-term infants. J Clin Invest. 1975;55(2):395\u2013398.112710610.1172\/JCI107943"},{"issue":"2","key":"b10","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"120","DOI":"10.3171\/2018.2.PEDS17717","article-title":"Incomplete reossification after craniosynostosis surgery-incidence and analysis of risk factors: a clinical-radiological assessment study","volume":"22","author":"Thenier-Villa JL","year":"2018","unstructured":"Thenier-Villa JL, Sanrom\u00e1n-\u00c1lvarez P, Miranda-Lloret P, Plaza Ram\u00edrez ME. Incomplete reossification after craniosynostosis surgery-incidence and analysis of risk factors: a clinical-radiological assessment study. J Neurosurg Pediatr. 2018;22(2):120\u2013127.10.3171\/2018.2.PEDS1771729799353"},{"issue":"4","key":"b11","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1227\/00006123-199010000-00006","article-title":"Radical osteoclastic craniectomy in sagittal synostosis","volume":"27","author":"Hassler W","year":"1990","unstructured":"Hassler W, Zentner J. Radical osteoclastic craniectomy in sagittal synostosis. Neurosurgery. 1990;27(4):539\u2013543.10.1227\/00006123-199010000-000062234355"},{"issue":"4","key":"b12","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"977","DOI":"10.1097\/01.prs.0000232353.44086.af","article-title":"Age-dependent closure of bony defects after frontal orbital advancement","volume":"118","author":"Paige KT","year":"2006","unstructured":"Paige KT, Vega SJ, Kelly CP, . Age-dependent closure of bony defects after frontal orbital advancement. Plast Reconstr Surg. 2006;118(4):977\u2013984.10.1097\/01.prs.0000232353.44086.af16980860"},{"issue":"9","key":"b13","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"1333","DOI":"10.1007\/s00381-012-1768-y","article-title":"Endoscopic technique for sagittal synostosis","volume":"28","author":"Jimenez DF","year":"2012","unstructured":"Jimenez DF, Barone CM. Endoscopic technique for sagittal synostosis. Childs Nerv Syst. 2012;28(9):1333\u20131339.10.1007\/s00381-012-1768-y22872245"},{"issue":"4","key":"b14","series-title":"Curr Opin Otolaryngol Head Neck Surg","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1097\/MOO.0000000000000069","article-title":"Latest trends in minimally invasive synostosis surgery: a review","volume":"22","author":"Sanger C","year":"2014","unstructured":"Sanger C, David L, Argenta L. Latest trends in minimally invasive synostosis surgery: a review. Curr Opin Otolaryngol Head Neck Surg. 2014;22(4):316\u2013321.10.1097\/MOO.000000000000006924927379"},{"issue":"8","key":"b15","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"1349","DOI":"10.1007\/s00381-017-3427-9","article-title":"Relationship between starting age of cranial-remolding-orthosis therapy and effectiveness of treatment in children with deformational plagiocephaly","volume":"33","author":"Han MH","year":"2017","unstructured":"Han MH, Kang JY, Han HY, . Relationship between starting age of cranial-remolding-orthosis therapy and effectiveness of treatment in children with deformational plagiocephaly. Childs Nerv Syst. 2017;33(8):1349\u20131356.2848486610.1007\/s00381-017-3427-9"},{"issue":"3","key":"b16","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1159\/000317257","article-title":"The risk of growing skull fractures in craniofacial patients","volume":"46","author":"Keshavarzi S","year":"2010","unstructured":"Keshavarzi S, Meltzer H, Cohen SR, . The risk of growing skull fractures in craniofacial patients. Pediatr Neurosurg. 2010;46(3):193\u2013198.10.1159\/00031725720962552"},{"issue":"1","key":"b17","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"91","DOI":"10.3171\/2017.2.PEDS16710","article-title":"Endoscopic surgery for patients with syndromic craniosynostosis and the requirement for additional open surgery","volume":"20","author":"Hersh DS","year":"2017","unstructured":"Hersh DS, Hoover-Fong JE, Beck N, . Endoscopic surgery for patients with syndromic craniosynostosis and the requirement for additional open surgery. J Neurosurg Pediatr. 2017;20(1):91\u201398.2847498310.3171\/2017.2.PEDS16710"},{"issue":"3","key":"b18","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"223","DOI":"10.3171\/2009.10.PEDS09216","article-title":"Multiple-suture nonsyndromic craniosynostosis: early and effective management using endoscopic techniques","volume":"5","author":"Jimenez DF","year":"2010","unstructured":"Jimenez DF, Barone CM. Multiple-suture nonsyndromic craniosynostosis: early and effective management using endoscopic techniques. J Neurosurg Pediatr. 2010;5(3):223\u2013231.2019263710.3171\/2009.10.PEDS09216"},{"issue":"3","key":"b19","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1007\/s00381-011-1621-8","article-title":"Early endoscopy-assisted treatment of multiple-suture craniosynostosis","volume":"28","author":"Rivero-Garv\u00eda M","year":"2012","unstructured":"Rivero-Garv\u00eda M, Marquez-Rivas J, Rueda-Torres AB, Ollero-Ortiz A. Early endoscopy-assisted treatment of multiple-suture craniosynostosis. Childs Nerv Syst. 2012;28(3):427\u2013431.2203815510.1007\/s00381-011-1621-8"}],"container-title":["Neurosurgical Focus"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/50\/4\/article-pE8.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/50\/4\/article-pE8.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/50\/4\/article-pE8.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T08:20:55Z","timestamp":1779524455000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/50\/4\/article-pE8.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":38,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/2021.1.focus201014","relation":{},"ISSN":["1092-0684"],"issn-type":[{"value":"1092-0684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}