 Hi, I'm Dr Praveen Ghanagi working as a consultant neurosurgeon and head of the department in Department of Neurosurgery Manipal Hospital, Bangalore Recently now we started doing the craniosynostasis through endoscopes craniosynostasis nothing but the children who are born with the closed skull bones that is in a new born The skull bones is not completely fused it will allow the brain to grow So that when the child grows to one year two years when the brain expands the skull also will expand But in few of the children the skull gets fused in that condition you need to do cut those sutures earlier we used to do a larger skin incision on the scalp and With a lot of blood loss it was risky But now with the infants as young as 40 days We have done and better preferably done under the five months of age where we can use endoscope and cut the sutures and then postoperatively need to put a helmet to remodel the skull so that the children can accommodate the normal shape of the skull