Metopic Synostosis
Metopic Synostosis
Metopic Synostosis, also known as Trigonocephaly, is a type of craniosynostosis where the metopic suture—located in the middle of the forehead—closes too early, before the brain has fully developed. This can lead to a triangular-shaped forehead, ridging along the forehead, and in some cases, pressure on the growing brain.
The metopic suture normally closes between 6–12 months of age. In Metopic Synostosis, this closure occurs too soon—restricting the skull’s growth in the forehead area and often resulting in a pointed or narrow forehead, and closely spaced eyes (hypotelorism).
Common Signs & Symptoms
Triangular-shaped forehead (trigonocephaly)
Prominent ridge along the forehead
Narrow space between the eyes
Asymmetrical or abnormal head shape
In some cases, developmental delays or increased intracranial pressure
Causes & Diagnosis
Metopic synostosis can occur sporadically or be part of a genetic syndrome. Diagnosis involves :
Physical examination of skull shape
CT scan or 3D imaging to confirm early suture fusion
Genetic testing if syndromic craniosynostosis is suspected
Why Choose Us
for Metopic Synostosis Care?
Plastic and Craniofacial surgeon, Neurosurgeon, Pediatric Anesthetist.
Experienced craniofacial and pediatric neurosurgeons
State-of-the-art imaging & surgical facilities
Family-centered care & counseling
Proven track record of safe and successful outcomes
Treatment depends on the Type and Severity
Endoscopic Surgery
If child present before 6 months of age minimally invasive endoscopic surgery followed by helmet therapy.
Surgical Correction
If patient presents after 6 months of age open Craniosynstosis surgery( cranial vault remolding) is done. This surgery allows the skull to reshape and accommodates normal brain growth while improving appearance.
Recovery
With timely surgical treatment, children with metopic synostosis go on to lead healthy lives, both developmentally and cosmetically. Our expert craniofacial team ensures personalized care and long-term monitoring to support your child’s growth and well-being.