Trigonocephaly

Last revised by Joshua Yap on 15 Apr 2023

Trigonocephaly refers to the triangular appearance of the frontal skull created by premature fusion of the metopic suture (metopic craniosynostosis) 2. Trigonocephaly accounts for around 5% of all craniosynostosis cases 4.

Epidemiology

Associations

Pathology

The metopic suture divides the frontal bones in the midline. It begins at the nose and continues superiorly to meet the sagittal suture. The metopic suture is usually open at birth and normally fuses in the first 12 months of life. Premature fusion prevents transverse growth of the forehead which causes a triangular-shaped forehead that may be associated with orbital hypotelorism (abnormal closeness of the eyes), as well as ethmoid hypoplasia 3,4.

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