title: Does an elevated bony ridge along the course of the metopic suture equal metopic synostosis? Implications for management.
abstract: Metopic synostosis represents an increasingly prevalent form of nonsyndromic craniosynostosis. Premature fusion of the metopic suture classically results in trigonocephaly, hypotelorism, temporal narrowing, and a pronounced midline forehead ridge. However, as varying degrees of skull deformity exist, there is confusion regarding the appropriate management for an infant with a metopic ridge. We report on a 2-month-old infant with clinical manifestations of metopic synostosis but with a patent metopic suture documented on computed tomography scan. We examine the implications for management related to fusion of the suture, age of the patient, and severity of the head deformity.
authors.affiliation: From the Section of Plastic and Reconstructive Surgery at Yale University School of Medicine, New Haven, Connecticut.
authors.forename: Peter W
authors.initials: PW
authors.lastname: Hashim
authors.forename: Anup
authors.initials: A
authors.lastname: Patel
authors.forename: Christopher C
authors.initials: CC
authors.lastname: Chang
authors.forename: Joel S
authors.initials: JS
authors.lastname: Beckett
authors.forename: John A
authors.initials: JA
authors.lastname: Persing
mesh_terms: D002508:Cephalometry; D003393:Cranial Sutures / Q000000981:diagnostic imaging*; D003398:Craniosynostoses / Q000000981:diagnostic imaging* / Q000628:therapy*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D014057:Tomography, X-Ray Computed