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Surgery Gives the Infant Brain a Window in Which to Grow
February 2005
by Will Sansom
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Dr. David Jimenez and Dr. Constance Barone have pioneered a new minimally invasive surgical technique outlined below. See related story
Abnormal skull: If a suture is fused, craniosynostosis occurs, resulting in elongation of the head, bulging forehead or other deformities.
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The endoscopic surgery averages an hour or less and blood loss is about two tablespoons. The traditional technique averages five hours and requires a pint of blood (almost the whole volume of a baby’s blood). Bishop Uhlrich’s operation opened a closed sagittal suture, which runs along the top of the head. The dura mater, the membrane directly under the skull, is exposed after bone is removed.
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After surgery, the infant is fitted with a tailor-made helmet. He will wear three or more the first year to maintain the shape of his skull as his head grows.
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