This minimally invasive surgery is one that we perform when the baby is much younger (less than 3 months old).
The minimally invasive surgery involves the use of an endoscope. The endoscope is a small tube which the surgeon can look through and see immediately inside and outside the skull through very small incisions in the scalp. The surgeon opens the suture to enable the baby’s brain to grow normally.
The surgery itself takes approximately one hour and involves less blood loss compared to the calvarial vault remodeling; so there is little chance of requiring a blood transfusion. The babies usually stay in the hospital overnight and are then released to go home.
This type of surgery is followed by the use of a molding helmet. After the surgery is performed, we then prescribe the molding helmet. You can expect to follow up with your neurosurgeon every 3 months for the first year post-surgery to check progress of the helmet reshaping the skull. Additional appointments will be necessary with the helmet provider for fitting the helmet to your child.
The Johns Hopkins Craniofacial Disorders Center is a team of pediatric experts who have specialized training and experience treating newborns, toddlers and children with craniofacial conditions including craniosynostosis. Our team is trained in all surgical procedures to treat craniofacial disorders including minimally invasive endoscopic approaches to restoration surgeries for children between 0 to 3 months of age. This technique minimizes complications and blood loss, although requires the use of helmet molding after surgery.