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Less Is More? Quantitative Comparison of Endoscopic-Assisted Techniques in the Management of Sagittal Synostosis.

PURPOSE: Endoscopic-assisted techniques are well described as a valid option for the early release of patients with sagittal synostosis.1-3 However, there exists a wide variation in the operative approaches that have been employed, ranging from simple suturectomy (SS) to more extensive variations that include osteotomies and barrel-staving (BS). The morbidity inherent to increasingly invasive procedures calls into question the relative efficacy of these techniques.4,5 The purpose of this study was to compare the quantitative outcomes of patients undergoing two different endoscopically-assisted techniques in the treatment of sagittal synostosis.