Metopic 

The metopic suture runs down the midline of the forehead. Premature fusion of this suture results in a triangular shaped forehead called trigonocephaly. A bony ridge is usually palpable that extends from the bridge of the nose to the upper part of the forehead. This premature fusion produces a prominent midline keel with the lateral recession of the brows. From the frontal view, these patients typically have the appearance of hypotelorism or decreased distance between the eyes.

 

The incidence of metopic synostosis in most cases of craniosynostosis is between 5-10%. This deformity is usually obvious at birth, but the severity of the anomaly may vary. We prefer to correct these deformities between 9-12 months of age. Our current surgical treatment consists of frontal bone remodeling and supralateral orbital advancement.

Preoperative

Postoperative

The incidence of metopic synostosis in most cases of craniosynostosis is between 5-10%. This deformity is usually obvious at birth, but the severity of the anomaly may vary. We prefer to correct these deformities between 9-12 months of age. Our current surgical treatment consists of frontal bone remodeling and supralateral orbital advancement.

The triangular or keel-shaped forehead is removed and recontoured to the appropriate shape or bone may be taken from another area of the skull to replace this bone.


The entire bony supraorbital bar is removed and reshaped with supralateral orbital advancement to restore the normal brow contour.

American Society of Plastic Surgeons
American Society of Maxiofacial Surgeons
American Society For Aesthetic Plastic Surgery
American Society of Craniofacial Surger
International Society of Craniofacial Surgery
American Associatin of Plastic Surgeons

Sargent Craniofacial Surgery

2290 Ogletree Ave Suite 112

  Chattanooga, Tn 37421   

                423 305-7274                         Fax- 423 206-2826           

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