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Frontal bossing is the development of an unusually pronounced forehead which may also be associated with a heavier than normal brow ridge. It is caused by enlargement of the frontal bone , often in conjunction with abnormal enlargement of other facial bones , skull , mandible , and bones of the hands and feet.
Compensatory growth occurs forward at the coronal suture and backward at the lambdoid suture giving respectively a prominent forehead, called frontal bossing, and a prominent back portion of the head, called coning. [10] [11] This is the most common form of craniosynostosis. [13]
The frontal sinus is hollow, and thus it can be more difficult to remove bossing there. If the bone over the frontal sinus is thick enough the bossing can be removed by simply grinding down the bone. However, in some people, the wall of bone is so thin that it is not possible to grind the bossing away completely without breaking through the ...
Paget's disease affecting the skull may cause frontal bossing, increased hat size, and headaches. Often patients may develop loss of hearing in one or both ears [ 7 ] due to auditory foramen narrowing and resultant compression of the nerves in the inner ear.
Craniofacial surgery is a surgical subspecialty that deals with congenital and acquired deformities of the head, skull, face, neck, jaws and associated structures. Although craniofacial treatment often involves manipulation of bone, craniofacial surgery is not tissue-specific; craniofacial surgeons deal with bone, skin, nerve, muscle, teeth ...
In March 2011, investigators from Australia and several other countries published the results of the DECRA [5] trial in The New England Journal of Medicine.This was a randomized trial comparing decompressive craniectomy to best medical therapy run between 2002 and 2010 to assess the optimal management of patients with medically refractory ICP following diffuse non-penetrating head injury.
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[7] [18] The surgery involves a frontal bone advancement in combination with remodelling of the supraorbital rim. [19] Orbital hypertelorism: It is preferred to wait with this treatment until the age of 5–8 years old, after permanent dentition. [7] [20] The procedures that can be performed are the facial bipartition and the box osteotomy.