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Semin Plast Surg 2014; 28(03): 115-120
DOI: 10.1055/s-0034-1384806
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Correction of Metopic Synostosis Utilizing an In Situ Bandeau Approach

Eric H. Hubli
1   Department of Craniofacial Reconstruction, Cook Children's Hospital, Fort Worth, Texas
,
Richard A. Roberts
2   Department of Neurosurgery, Cook Children's Hospital, Fort Worth, Texas
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Publikationsdatum:
04. September 2014 (online)

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Abstract

Metopic craniosynostosis is a common growth disturbance in the infant cranium, second only to sagittal synostosis. Presenting symptoms are usually of a clinical nature and are defined by an angular forehead, retruded lateral brow, bitemporal narrowing, and a broad-based occiput. These changes create the pathognomonic trigonocephalic cranial shape. Aesthetic in nature, these morphological changes do not constitute the only developmental issues faced by children who present with this malady. Recent studies and anecdotal evidence have also demonstrated that children who present with metopic synostosis may face issues with respect to intellectual and/or psychological development. The authors present an elegant approach to the surgical reconstruction of the trigonocephalic cranium using an in situ bandeau approach.

Keywords

craniosynostosis - metopic - trigonocephaly - suture
 

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