Sagittal synostosis produced a head shape that is narrow and elongated with a palpable mid-line ridge. This type of craniosynostosis, when diagnosed early, can be treated well with endoscopic assisted suturectomy. This involves remove the affected suture through a small minimal access incision and using a special camera to help guide the instruments to remove the affected suture. Blood loss is kept low, with less risk of transfusion. Patients are discharged home often early the next day with minimal discomfort.

3-4 months is the best age to perform endoscopic suture removal. Post-operatively, our patient are placed in a cranial molding helmet to allow the skull to be reshaped by reducing length and widening the width.