Metopic ridge presenting to pediatric dermatology and vascular anomalies clinics

Abstract

Metopic ridge (MeR) is a midline osseous forehead prominence resulting from physiologic closure of the underlying metopic suture. This mass‐like ridge can be mistaken for serious conditions such as a craniosynostosis or vascular anomaly, prompting concern and workup. We reviewed patients presenting for a forehead mass to Vascular Anomalies and Dermatology clinics and diagnosed with MeR to increase familiarity with this finding and to encourage MeR in the differential diagnosis of pediatric midline forehead masses.

Exploring Different Management Modalities of Nonsyndromic Craniosynostosis

“…Metopic synostosis: It might be challenging to distinguish between normal closure of the metopic suture with ridging, resulting in midline osseous forehead protrusion, and metopic craniosynostosis [ 58 , 59 ]. Nevertheless, metopic craniosynostosis is treated surgically, while metopic ridging is managed conservatively.…”

“…Nevertheless, metopic craniosynostosis is treated surgically, while metopic ridging is managed conservatively. Although a physical examination is often sufficient to make the diagnosis, in more challenging situations, a CT scan may provide more information [ 59 ]. Furthermore, surgery is the clear recommendation only in the case of the most severe form of metopic craniosynostosis.…”