Management of trigonocephaly.
Trigonocephaly, resulting from premature fusion of the metopic suture, is one of the least common forms of craniosynostosis referred to our institution. We describe a method of treating this condition that has been satisfactory in our hands. A bicoronal scalp flap is reflected down to the glabella and supraorbital ridges and a "gull-wing" bone flap is then formed in the frontal region, hinged forward on the metopic ridge. The midline strut in the area of the fused metopic suture is then burred down using a high-speed drill, but is not removed. We feel that this method results in an excellent immediate cosmetic result and is technically easier then the morselization procedures which have previously been described. We have found this to give a satisfactory result in 13 patients who underwent this procedure.
D000013:Congenital Abnormalities / Q000150:complications; D003398:Craniosynostoses / Q000150:complications / Q000601:surgery*; D005260:Female; D006552:Hernia, Inguinal / Q000150:complications; D006801:Humans; D007223:Infant; D008297:Male