Initial treatments for craniosynostosis involved strip craniectomies, but due
to unsatisfactory results in advanced stages, extensive cranial remodeling was
introduced, despite its risks and prolonged hospital stays. Over the last 30 years, strip
craniectomies have seen a revival, primarily due to the incorporation of minimally
invasive endoscopic-assisted surgeries (EAS) as pioneered by Jiménez and Barone.
EAS has shown marked advantages over older surgical methods, including shorter
surgical times, reduced bleeding, and fewer hospitalization requirements, all while
achieving comparable results in cranial deformity corrections. The most influential
factor in perioperative morbidity is surgical time. EAS has emerged as a promising,
effective treatment for craniosynostosis, suggesting its wider adoption in neurosurgical
settings. Considering the relationship between age, surgical time, and blood loss, EAS
may be suitably extended to children aged 6-12 months.
Keywords: Craniosynostosis, Endoscopic-assisted surgeries, Strip craniectomies.
