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At least 55 records · Page 3Linked to original sources

Three-dimensional sonographic description of the fetal frontal bones and metopic suture.

OBJECTIVE: To describe the morphology of the frontal bones and metopic suture at 9-34 weeks of gestation using three-dimensional (3D) ultrasonography. METHODS: This was a cross-sectional study of the frontal bones and metopic suture in 16 fetuses at 9-34 weeks of gestation. 3D ultrasonography was used to obtain volumes of the whole fetal skull in the mid-sagittal plane. The volumes were analyzed using the rendering mode and transparent maximum mode in order to achieve a clear view of the frontal bones and the metopic suture. RESULTS: At 9 weeks, a small ossification center was visible in the middle of each supraorbital part of the frontal bones and by 11 weeks the frontal bones appeared as 'thick eyebrows'. In the second trimester there was progressive radial bone expansion and delineation of the metopic suture and in the third trimester there was closure of the metopic suture, starting from the glabella and moving upwards towards the anterior fontanelle. CONCLUSIONS: This study provides 3D ultrasound images that illustrate the process of ossification of the frontal bones and the subsequent development of the metopic suture during prenatal life.

Cranial Sutures↗

Combined frontal bone reshaping and forehead lift for frontal sinus hypertrophy.

A technique to correct frontal sinus hypertrophy is presented. The outer table of the frontal sinus is removed and divided into three pieces with an oscillation saw. The pieces are trimmed at the margin, fixed with two microplates, and regrafted. Bilateral lateral thick portions of the supraorbital rim are shaved with a surgical burr. At the same time, a forehead lift is performed. A satisfactory result with a flat and wide forehead can be obtained by employing this technique.

Adult↗

Chondromyxoid fibroma of the frontal bone.

Chondromyxoid fibroma of frontal bone is a rare lesion. Plain skull films showed a round radiolucent mass with a sclerotic margin. It was dense on plain CT scan and showed no convincing contrast enhancement. MR imaging showed low signal intensity relative to gray matter on T1-weighted image (500/20), isointensity on proton-density image (2000/30), high intensity on T2-weighted image, and marked peripheral enhancement on postcontrast (gadopentetate dimeglumine) study.

Adult↗

Reconstruction of contour and anterior wall defects of frontal bone with a porous polyethylene implant.

Frontal bone contour defects cause marked facial deformity, which is instantly obvious to the observer. The aetiology is usually post-traumatic either following a traffic accident or a gunshot injury. The contour deformity of the frontal bone was reconstructed using Medpor porous polyethylene in 12 consecutive patients during a period of 2 years. In four of the patients, we used a coronal approach, whilst using the old incision scar and laceration for access in the remainder. In two of the patients it was not necessary to fix the implant at all, but the remainder were fixed with lag screws because of implant mobility. The aetiology, the technique used, and the results obtained are presented.

Accidents, Traffic↗

Cholesterol granuloma of the frontal bone: CT diagnosis.

Cholesterol granuloma of the frontal bone is a distinct clinical entity. This expanding lesion grows slowly within the diploe of the frontal bone until it extends into the orbit and causes globe displacement. We report the clinical and the CT findings in 11 patients with cholesterol granuloma of the orbit. The CT characteristics of cholesterol granuloma of the frontal bone appear to enable a correct preoperative diagnosis.

Adult↗

[Can one speak of the "recession" of the frontal bone?].

The receding aspect of the frontal bone in Primates and fossil men, comes primarily from the orientation adopted and the nature of the point chosen, the ontogenic shift of which is important. There is a confusion between shape and position notions. A study in the "vestibular" axes demonstrate that the inclination of the squamous portion of the frontal bone is significantly less variable then has been claimed, especially if one considers the endocranium.

Animals↗

Cutaneous scar at anterior hair line in mother and child with associated frontal bone defect in child.

A large frontal bone defect underlying a "V" shaped scar was noted in a newborn male whose mother had an identical "V" shaped scar at the same location in the anterior hairline. Both had hypertelorism and short palpebral fissures. The mother had no radiographic evidence of skull defect and neither mother nor child had other cutaneous or skeletal anomalies. Cranioplasty was performed on the child using the remaining frontal bones with an excellent cosmetic result. Biopsy performed at operation documented scar tissue extending through the dermis and underlain by thickened dura. Mother and child appear to have a variant form of aplasia cutis congenita, an autosomal dominant trait with wide variation in expression.

Abnormalities, Multiple↗

[Animal experiments on the frontal sinus development after craniofacial surgery on the frontal bone in Göttingen miniature pigs].

According to the literature, the development of the frontal sinus is a result of the active immigration of cells from the ethmoidal complex into the os frontale. This migration theory is in contrast to the results in patients with Apert's syndrome. When front-orbital advancement at the age of a few months is performed in these patients--at a time when the frontal suture is not yet closed--a sinus developed despite the distance between nasal root and os frontale, being up to 2 cm. In order to investigate the development of the frontal sinus, an animal study in 12 juvenile Goettingen minipigs (age 5-6 weeks) with histologically pronen un-developed frontal sinus was performed. To exclude the emigration of ethmoidal complex cells into the frontale bone an orthotopical transposition of the frontale bone into the os occipitale was performed. Histologically the development of a frontal sinus in the frontal bone was excluded before transplantation. The macro- and microscopic comparison with a control group revealed that in the orthotopical transplants in the os occipitale an epithelium-lined sinus developed beginning from the 35th week. Based on our histomorphological results, a development scheme for the genesis of the sinus frontalis and a model is drawn.

Animals↗

Surgery improves vision and cosmetic appearance of an adult patient with fibrous dysplasia of the frontal bone.

A 31-year-old woman with fibrous dysplasia (FD) of the left forehead was reported. Visual acuity impairment and diplopia were slowly progressive for 6 months associated with marked protrusion of her left forehead. Removal of left forehead lesion including the orbital ridge and total decompression of the optic canal and superior orbital fissure improved these visual symptoms dramatically. Reconstructive cranioplasty using artificial bone made by hydroxyapatite (Apaceram) was very satisfactory in cosmetic appearance. Surgical indication and neuroradiological findings of cranial FD are discussed as well as a review of the literatures.

Adult↗