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Children with Metopic Ridge.
1Dr. Lutfi Kirdar Education and Research Hospital, Department of Neurosurgery, Istanbul, Turkey.
Turkish Neurosurgery
|August 2, 2016
Summary
A metopic ridge in children is a benign finding, distinct from trigonocephaly. This condition does not require surgery or radiological investigation, representing a mild form of metopic synostosis.
Area of Science:
- Pediatric Neurosurgery
- Craniofacial Surgery
- Developmental Pediatrics
Background:
- Metopic synostosis, or trigonocephaly, results from premature closure of the metopic suture.
- A subset of children present with a metopic ridge without trigonocephalic features.
- Distinguishing these conditions is crucial for appropriate management.
Purpose of the Study:
- To define the clinical characteristics of children with a metopic ridge.
- To differentiate metopic ridge from trigonocephaly.
- To guide diagnostic and treatment approaches for metopic ridge.
Main Methods:
- A retrospective follow-up of 38 children diagnosed with metopic ridge.
- Clinical examinations and photographic documentation were utilized.
- Data collected between January 2010 and November 2015.
Main Results:
- The study included children aged 3-30 months (mean 14 months).
- Boys (65.8%) were more commonly affected than girls (34.2%).
- A midline metopic ridge without fronto-orbital deformity was the sole diagnostic criterion; parental concern was common, and no patients required surgery.
Conclusions:
- Metopic ridge is a distinct pathology of the metopic suture, often causing parental concern.
- Radiological investigations and surgical intervention are not indicated for isolated metopic ridge.
- This condition can be considered the mildest presentation of metopic synostosis.
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