Adjuvant Therapies for Nonsyndromic Craniosynostosis in Children

  • Medical adjuvant therapy: None for craniosynostosis.
  • Helmet use recommended: The use of helmets postoperatively in children who have had minimally invasive surgery may be considered an adjuvant therapy. Many centers doing a large number of minimally invasive cases use postoperative helmets. However, other centers do not. There are no prospective studies. Small case reports have been published on outcomes without the use of helmets (70, 71). The author advocates using a helmet out of concern that without their use the same cosmetic results seen after open strip craniectomy will occur. Larger, longitudinal studies on surgeries without the subsquent use of helmets are needed.