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[Metotopic craniosynostoses].

T R Meling1, B J Due-Tønnessen, E Helseth

  • 1Nevrokirurgisk avdeling, Rikshospitalet, Oslo. torsteinrmeling@mailcity.com

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|December 8, 2000
PubMed
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Metopic synostosis causes a keel-shaped forehead and requires surgical correction. Radical fronto-orbital surgery provides stable craniofacial deformity correction and good cosmetic outcomes.

Area of Science:

  • Craniofacial Surgery
  • Pediatric Neurosurgery
  • Plastic Surgery

Background:

  • Metopic synostosis, premature fusion of the metopic suture, results in trigonocephaly (keel-shaped forehead).
  • It affects 8-16% of craniofacial center referrals, predominantly males, and can cause increased intracranial pressure (ICP).
  • Associated anomalies and neuropsychological issues occur in some patients, with surgery being the primary treatment.

Observation:

  • Two infant patients presented with progressive trigonocephaly, retruded orbital rims, increased biparietal diameter, and hypotelorism.
  • Both patients exhibited elevated ICP but maintained normal psychomotor development.
  • Surgical intervention involved radical fronto-orbital remodeling.

Findings:

  • Post-operative recovery was uneventful for both patients.

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  • Cosmetic results were pleasing, and ICP normalized within three months.
  • Radical fronto-orbital surgical remodeling achieved stable correction of craniofacial deformities.

    • Implications:

    • Early clinical and radiological evaluation is crucial for suspected metopic synostosis.
    • Radical fronto-orbital surgery offers a stable and cosmetically satisfactory solution for trigonocephaly.
    • This approach effectively addresses the craniofacial deformities associated with metopic synostosis.