Development of the frontal sinus following bilateral fronto-orbital osteotomies

Locher, Miriam A.; Sailer, Hermann F.; Haers, P.; Carls, Friedrich R.; Oechslin, Christian K.; Grätz, Klaus W.

doi:10.1016/s1010-5182(98)80001-2

Cited by 10 publications

(6 citation statements)

References 8 publications

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“…Conversely, it is well known that premature closing of the cranial sutures in craniosynostosis results in atretic frontal sinuses due to increased intracranial pressure hindering pneumatisation of the sinuses. In a study conducted by Locher et al [17], frontal sinus pneumatisation following bilateral fronto-orbital advancement was seen in 24 of 33 patients with craniosynostosis [14]. On the other hand, individuals with persistent metopic suture are otherwise neurologically and physically normal.…”

Section: Resultsmentioning

confidence: 97%

Association between frontal sinus development and persistent metopic suture

et al. 2013

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Section: Resultsmentioning

confidence: 97%

Association between frontal sinus development and persistent metopic suture

et al. 2013

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“…In healthy individuals, the frequent relation between MS preservation and FS underdevelopment is intricate and still unclear. It is known that the premature closure of the cranial suture/s (craniosynostosis) results in an underdevelopment of the FS due to the increased intracranial pressure (ICP) that hinders pneumatization of the sinuses (Locher et al, ). A surgical enlargement of the neurocranium, however, decreases the pressure and then the FS pneumatization proceeds normally (Locher et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…It is known that the premature closure of the cranial suture/s (craniosynostosis) results in an underdevelopment of the FS due to the increased intracranial pressure (ICP) that hinders pneumatization of the sinuses (Locher et al, ). A surgical enlargement of the neurocranium, however, decreases the pressure and then the FS pneumatization proceeds normally (Locher et al, ). Besides craniosynostosis, the elevation of the ICP could be a consequence of many other heterogeneous conditions such as haematoma, neoplasm, trauma, seizure, hydrocephalus, meningitis, etc.…”

Section: Discussionmentioning

confidence: 99%

Digital radiomorphometric analysis of the frontal sinus and assessment of the relation between persistent metopic suture and frontal sinus development

Nikolova

Toneva

Georgiev

et al. 2017

American J Phys Anthropol

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The significant differences between both series showed a tendency for the persistence of metopic suture to be frequently related with FS underdevelopment in the vertical plate of the frontal bone, but in cases of pneumatization, it was preferentially on the left side. Taking into account that the cranial hypertension leads to suture diastasis and hinders development of the FS, it could be suggested that persistence of the metopic suture along with underdevelopment of the FS in nonsyndromic adults could be an expression of an elevated intracranial pressure during early development as an after-effect of certain condition.

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“…Another suggestion is that the MS does not inhibit the FS development itself, but rather the accumulation of both features in nonsyndromic individuals is an expression or an aftereffect of a certain condition during the early development [4]. It is known that the craniosynostosis results in an underdevelopment of the FS due to the increased intracranial pressure (ICP) that hinders pneumatization of the sinuses [87,88], since the FS development is an inverse ratio to the ICP [89]. However, a surgical enlargement of the neurocranium with an adequate stabilization leads to a decrease in the pressure on the inner frontal cortex; thereafter, the FS pneumatization proceeds normally [88].…”

Section: Metopic Suture Persistence and Frontal Sinus Developmentmentioning

confidence: 99%

“…It is known that the craniosynostosis results in an underdevelopment of the FS due to the increased intracranial pressure (ICP) that hinders pneumatization of the sinuses [87,88], since the FS development is an inverse ratio to the ICP [89]. However, a surgical enlargement of the neurocranium with an adequate stabilization leads to a decrease in the pressure on the inner frontal cortex; thereafter, the FS pneumatization proceeds normally [88]. Nevertheless, the FS pneumatization seems to depend on the craniosynostosis and on the type of surgery performed [33].…”

Section: Metopic Suture Persistence and Frontal Sinus Developmentmentioning

confidence: 99%

Relation between Metopic Suture Persistence and Frontal Sinus Development

Nikolova¹,

Toneva²,

Georgiev³

et al. 2019

Challenging Issues on Paranasal Sinuses

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The frontal bone develops as two halves, which further unite in a single bone by the closure of the mid-sagittal metopic suture, typically by the end of the first postnatal year. The frontal sinus begins to expand into the orbital and vertical plates of the frontal bone postnatally and reaches the level of the nasion by the fourth year of age. At this time, the metopic suture is usually entirely closed. However, in the cases of failed closure of the metopic suture, its relationship to the frontal sinus development is still obscure. Here, we review the relevant literature and discuss the frontal bone development and maturation, from the viewpoint of the frontal sinus pneumatization in relation to the metopic craniosynostosis and failed closure of the metopic suture. The peculiar to the metopic skulls frontal bone configuration is rather an expression of the underlying neural mass demands than a consequence of the metopic suture persistence. Furthermore, the persistent metopic suture is frequently associated with a frontal sinus underdevelopment. It seems that the metopic suture does not inhibit the frontal sinus pneumatization itself, but rather both traits are an expression or an aftereffect of a certain condition during the early development.

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Development of the frontal sinus following bilateral fronto-orbital osteotomies

Cited by 10 publications

References 8 publications

Association between frontal sinus development and persistent metopic suture

Association between frontal sinus development and persistent metopic suture

Digital radiomorphometric analysis of the frontal sinus and assessment of the relation between persistent metopic suture and frontal sinus development

Relation between Metopic Suture Persistence and Frontal Sinus Development

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