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Repair of craniosynostosis is recommended to avoid potential neurodevelopmental delay. Early intervention at 3 to 4 months of age allows minimally invasive approaches, but requires postoperative molding helmet therapy and good family compliance. Open techniques are deferred until the child is older to better tolerate the associated surgical stress. Cranial vault remodeling is generally well-tolerated with a low rate of complications 1).

Studies on Nonsyndromic craniosynostosis treatment demonstrate decreasing morbidity and mortality; however, complication rates still range from 5% to 14%.

Healthy patients with NSC undergoing cranial vault surgery can potentially be safely managed without routine admission to the ICU postoperatively. Key elements are proper preoperative screening, access to ICU should an adverse intraoperative event occur and necessary postoperative surgical care. The authors hope that this experience will encourage other craniofacial surgeons to reconsider the dogma of routine ICU admission for this patient population 2).

Dempsey RF, Monson LA, Maricevich RS, Truong TA, Olarunnipa S, Lam SK, Dauser RC, Hollier LH Jr, Buchanan EP. Nonsyndromic Craniosynostosis. Clin Plast Surg. 2019 Apr;46(2):123-139. doi: 10.1016/j.cps.2018.11.001. Epub 2019 Jan 30. Review. PubMed PMID: 30851746.
Chocron Y, Azzi A, Galli R, Alnaif N, Atkinson J, Dudley R, Farmer JP, Gilardino MS. Routine Postoperative Admission to the Intensive Care Unit Following Repair of Nonsyndromic Craniosynostosis: Is it Necessary? J Craniofac Surg. 2019 Mar 9. doi: 10.1097/SCS.0000000000005327. [Epub ahead of print] PubMed PMID: 30921065.
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