Original ArticlesEndoscopic Strip Craniectomy for Craniosynostosis Do We Really Understand the Indications, Outcomes, and Risks?Kung, Theodore A. MD; Vercler, Christian J. MD; Muraszko, Karin M. MD; Buchman, Steven R. MDAuthor Information *Department of Surgery, Section of Plastic Surgery †Department of Neurosurgery, University of Michigan Health System, Ann Arbor, MI. Address correspondence and reprint requests to Steven R. Buchman, MD, Department of Surgery, Section of Plastic Surgery, University of Michigan Hospital and Health Systems, Pediatric Plastic Surgery Craniofacial Anomalies C.S. Mott Children's Hospital 1540 E. Hospital Drive 4-730 Ann Arbor, MI 48109-4215. E-mail: email@example.com Received 31 August, 2015 Accepted 9 November, 2015 The authors report no conflicts of interest. Journal of Craniofacial Surgery: March 2016 - Volume 27 - Issue 2 - p 293-298 doi: 10.1097/SCS.0000000000002364 Buy Metrics Abstract Endoscopic strip craniectomy with postoperative helmet therapy has been introduced as a means to correct various forms of craniosynostosis. Although some authors have deemed the procedure safe and effective, many questions remain regarding this promising yet developing approach. The authors discuss 4 cases where patients were inadequately treated with endoscopic strip craniectomy resulting in a recommendation of complete secondary open cranial vault reconstruction. In addition, the authors present the findings from an informal survey of craniofacial colleagues to highlight an important discrepancy between published and anecdotal reports of complications. Finally, the authors highlight the need for further investigation into the proper indications and clinical outcomes of endoscopic strip craniectomy to better understand the role of this technique in the treatment of craniosynostosis. © 2016 by Mutaz B. Habal, MD.