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Trigonocephaly: A simple modified technique.

Danish Mohammad1, Sivashanmugam Dhandapani1

  • 1Department of Neurosurgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Journal of Pediatric Neurosciences
|September 25, 2014
PubMed
Summary

Trigonocephaly, premature metopic suture fusion, causes forehead deformity. A novel surgical technique offers good results for aesthetic correction, improving forehead shape.

Keywords:
Craniofacial surgerycraniosynostosismetopic suturetrigonocephaly

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Area of Science:

  • Craniofacial Surgery
  • Pediatric Neurosurgery
  • Plastic Surgery

Background:

  • Trigonocephaly results from premature fusion of the metopic suture, causing a characteristic keel-shaped forehead deformity.
  • Surgical intervention for trigonocephaly is primarily indicated for aesthetic and psychosocial reasons.
  • Existing surgical techniques for metopic synostosis correction vary in complexity and outcomes.

Observation:

  • This study presents a novel surgical technique for correcting trigonocephaly.
  • The technique involves excising the metopic suture and reconstructing the anterior calvarium.
  • Specific steps include finger-clasp reconstruction, transection and molding, and fixation with nonabsorbable sutures.

Findings:

  • The described surgical method is simple to perform and yields good postoperative results.
  • The supraorbital bar is mobilized and secured anteriorly using titanium plates and screws.
  • This approach effectively addresses the cranial deformities associated with trigonocephaly.

Implications:

  • This technique offers a potentially simpler and effective surgical option for trigonocephaly correction.
  • Improved aesthetic outcomes can positively impact the psychosocial well-being of affected individuals.
  • Further studies may validate the long-term efficacy and benefits of this surgical approach.