Evidence map›Paper›PMID 41951972›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2026

Endoscopic-assisted strip craniectomy using a diamond drill bit attached to a dural retractor: a technical paper.

Joyce Koueik, Catharine B Garland, Anas Abou Merhi, Sarah Larson, Jordan Henry, Daniel Y Cho, Raheel Ahmed, Bermans J Iskandar

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In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Joyce KoueikDepartments of Neurological SurgerySchool of Medicine and Public HealthClinical Science Center, University of Wisconsin, 600 Highland Avenue, Madison, WI, 53792-8660, USA.
Catharine B GarlandDepartment of Surgery, Division of Plastic and Reconstructive Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
Anas Abou MerhiDepartments of Neurological SurgerySchool of Medicine and Public HealthClinical Science Center, University of Wisconsin, 600 Highland Avenue, Madison, WI, 53792-8660, USA.
Sarah LarsonDepartments of Neurological SurgerySchool of Medicine and Public HealthClinical Science Center, University of Wisconsin, 600 Highland Avenue, Madison, WI, 53792-8660, USA.
Jordan HenryDepartments of Neurological SurgerySchool of Medicine and Public HealthClinical Science Center, University of Wisconsin, 600 Highland Avenue, Madison, WI, 53792-8660, USA.
Daniel Y ChoDepartment of Surgery, Division of Plastic and Reconstructive Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
Raheel AhmedDepartments of Neurological SurgerySchool of Medicine and Public HealthClinical Science Center, University of Wisconsin, 600 Highland Avenue, Madison, WI, 53792-8660, USA.
Bermans J IskandarDepartments of Neurological SurgerySchool of Medicine and Public HealthClinical Science Center, University of Wisconsin, 600 Highland Avenue, Madison, WI, 53792-8660, USA. iskandar@neurosurgery.wisc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and importanceMinimally invasive techniques have largely replaced open cranial vault remodeling as the preferred treatment approach for infants with single-suture craniosynostosis. We describe a refined method for minimizing blood loss during strip craniectomy, using a high-speed drill with a diamond burr and a novel attachable dural retractor. The diamond drill bit generates localized heat that cauterizes the bone edges, thereby potentially reducing bleeding, while the dural retractor is designed to limit heat dissipation and protects the dura from thermal and mechanical injury. CLINICAL PRESENTATION: A 3-month-old female infant with trigonocephaly secondary to metopic craniosynostosis underwent endoscopy-assisted metopic strip craniectomy, followed by postoperative cranial molding helmet therapy. The accompanying video demonstrates the operative technique and key steps of the procedure.

conclusionThis technical note demonstrates the feasibility of reducing bone-edge blood loss during endoscopic strip craniectomy using a diamond burr equipped with an attachable dural retractor. Further evaluation in larger cohort studies is necessary to objectively assess safety, reproducibility, and impact on perioperative blood loss.

Indexed as

CraniosynostosesCraniotomyEndoscopyNeuroendoscopyDiamondDura MaterFemaleHumansInfantSurgical InstrumentsDiamondBlood lossCraniosynostosisMinimal invasiveSuturectomy

Identifiers

PMID41951972
PMCPMC13061814

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.