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A Less Invasive Technique for Babies with Craniosynostosis

Surgical treatment of craniosynostosis has been around since the 1890s, and the traditional surgical procedure involves making a large incision in the scalp and total or sub-total removal of the skull. Following this, the skull is reshaped and replaced with a variety of materials. As a result of the invasive nature of this procedure, it can result in significant swelling, pain, and bleeding, and it often requires blood transfusions and three to five days of hospitalization.

Endoscopic Strip Craniectomy

In the early 1990s, David F. Jimenez, MD, a pediatric neurosurgeon, began developing the endoscopic strip craniectomy -- a minimally invasive surgical procedure to treat craniosynostosis. The fundamental approach of the procedure he developed, endoscopic strip craniectomy, is to operate on the patient with craniosynostosis as early as possible. The prematurely closed suture is released, allowing the rapidly growing brain to naturally remodel the skull and face to a normal shape.

Metopic Suture Synostosis

The treatment of metopic suture synostosis is done via a single incision placed behind the hair line and across the mid-line. The endoscopes are used to elevate the scalp over the suture from the anterior fontanel down to the root of the nose (nasion). Once a small opening is made on the skull, the endoscopes are inserted under the bone and used to visualize the bone under the affected suture. A small strip of bone (0.7mm) is typically removed from the anterior fontanel to nasion, thereby releasing the closed stenosed suture.

At the Center for Endoscopic Craniosynostosis Surgery in San Antonio, Texas, Dr. Jimenez continues his groundbreaking work. As the pioneer of the technique, he has performed the procedure more than any other surgeon in the world. Children from all over the world have come to San Antonio, Texas to benefit from the unmatched experience of Dr. Jimenez.

Pediatric Craniosynostosis Team

Dr. David Jimenez

Dr. David F. Jimenez
Professor and Chairman of the Department of Neurosurgery

 Dr. Izabela Tarasiewicz

Dr. Izabela Tarasiewicz, MD, FRCS
Assistant Professor in the Department of Neurosurgery

Internationally-recognized pediatric neurosurgeon David F. Jimenez, M.D developed the Endoscopic-Assisted Craniectomy more than two decades ago. His goal was to decrease complications, surgical trauma and blood transfusions in children in need of treatment for craniosynostosis. In addition to being a renowned surgeon, he is also a parent, who knows he would not want his child to have to undergo a major surgery if excellent results could be achieved in a less invasive way.