PMID: 9557540Apr 29, 1998Paper

Surgical correction of trigonocephaly: theoretical basis and operative procedures

Neurologia Medico-chirurgica
E MoriyamaY Matsumoto

Abstract

Trigonocephaly involves premature fusion of both the metopic suture and the sutures in the skull base. Surgical treatment by opening of the prematurely fused metopic suture and expansion of the anterior cranial base by creating "neosutures" was used to treat three children with trigonocephaly. The combination of lateral canthal advancement and radical forehead remodeling achieved excellent results. These procedures can also prevent the development of midface hypoplasia such as hypotelorism. The two younger patients, aged 0 and 6 months, achieved rapid bone growth in the defects and normalization of intercanthal and interpupillary distances. The older patient, aged 8 years, retained some skull defects at follow-up. The optimal age for surgery is 3-6 months, which allows good cosmetic results and minimizes visual repercussions with relatively low perioperative risks.

Citations

Jun 15, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Michael O KelleherMichael J Earley
Sep 18, 2008·Neurosurgery·Salvador Ruiz-CorreaMichael L Cunningham
Jan 15, 2011·The Journal of Craniofacial Surgery·Abdoljalil Kalantar HormoziHamid Reza Hallaj Mofrad
Jan 18, 2011·The Journal of Craniofacial Surgery·Cameron S FrancisSteven R Cohen
Apr 7, 2007·The Journal of Craniofacial Surgery·Alexander BallonAdorján F Kovács
Oct 1, 2017·The Journal of Craniofacial Surgery·Abdoljalil Kalantar HormoziAbdolazim Ghalambor
Jan 11, 2014·The Journal of Craniofacial Surgery·Giovanni MalteseLars Kölby
Jun 18, 2016·The Journal of Craniofacial Surgery·Khalid ArabPeter Tarnow

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