Frontal bossing is an unusually prominent forehead, sometimes associated with a heavier than normal brow ridge. (Frontal bossing, boxhead, caput quadratum).
When the anterior portion of the sagittal suture closes prematurely, the resulting compensatory growth causes frontal bossing.
Causes
• Idiopathic
• After infantile hydrocephalus
• Acromegaly
• Basal cell nevus syndrome
• Congenital syphilis
• Cleidocranial dysostosis
• Crouzon syndrome
• Hurler syndrome
• Pfeiffer syndrome
• Rubinstein-Taybi syndrome
• Russell-Silver syndrome (Russell-Silver dwarf)
• Use of the antiseizure drug trimethadione during pregnancy
Major surgical treatment
The craniotomy must achieve expansion of the narrowed skull, shortening of the protracted anteroposterior distance, and reduction or elimination of the bossing.
Simple remedy
Hairline lowering .Design the hair style to cover it.
Dr Paulose is an ENT Consultant Plastic and Laser Surgeon with over 35 years of experience covering in Ear, Nose and Throat procedures, specializing in Laser Surgery and conventional medicine across India, U.K. and Middle East. He is currently engaged with the Jubilee Hospital, in Kerala, India.
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