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Doctor insights on: Metopic Suture

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What is a metopic suture?

What is a metopic suture?

Frontal Suture: It is a misnomer because it disappears by the age of 5 or 6 and due to the presence of dense connective tissue at the frontal suture on skull. ...Read more

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Could craniosynostosis be missed until 15 months? Child has a ridge along metopic suture, but pediatrician says too late for diagnosis.

Could craniosynostosis be missed until 15 months? Child has a ridge along metopic suture, but pediatrician says too late for diagnosis.

Craniosynostosis: Ridging along a metopic suture does not necessarily mean craniosynostosis. There are other findings associated with it that fit into the diagnosis of trigonocephaly. It is not too late for a diagnosis and a work up by a craniofacial surgeon might be helpful here for you. ...Read more

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My son ws born with metopic ridge. His head was and is in 3rd percentile. His soft spot closed at 4 months. How conserned should I be? He has hypotoni

My son ws born with metopic ridge. His head was and is in 3rd percentile. His soft spot closed at 4 months. How conserned should I be? He has hypotoni

Craniosynostosis: If the soft spot (fontanelle) closed prematurely this is an urgent matter. She would need to see the pediatric neurosurgeon promptly. I would tell your doctor immediately as this could leave to problems with brain development. ...Read more

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My child was born without metopic ridge, yet a definitive ridge has now formed. Her head growth has been normal. She is now 1. Should i be concerned?

My child was born without metopic ridge, yet a definitive ridge has now formed. Her head growth has been normal.  She is now 1. Should i be concerned?

See pediatrician: It may not be anything to worry about, but your pediatrician should evaluate not only the child's head growth (head circumference) but also the shape of the head. Just having a ridge in and of itself does not always mean that something is wrong, but when it associated with an abnormality of the shape of the skull, it can be a problem. ...Read more

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My child has craniosynostosis (metopic), are there any options other than surgery?

My child has craniosynostosis (metopic), are there any options other than surgery?

Metopic synostosis: Surgery is really the only option at present. Surgery for metopics is really based on how severe the synostosis is on examination. A mild ridge most do nothing. Severe ridge with dimpling lateral to the eyes and close set ears are the more concerning types. ...Read more

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What's suture removal feel like?

What's suture removal feel like?

Not bad : At all, maybe a slight pulling type of feeling. Almost always no need for local anesthesia or anything like that. Don't get yourself worked up, it's really not bad. If pain is felt, local anesthesia can be given. ...Read more

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I have read a lot about sling for prolapse repair. What is involved in traditional suture repair? What is overall success rate? Possible complications?

I have read a lot about sling for prolapse repair.  What is involved in  traditional suture repair?  What is overall success rate? Possible complications?

Failure: Traditional surgical repairs that use just sutures have been reported to have failure rates as high as 40 to 50% by some. These procedures are often referred to as a&p repairs & sacrospinous ligament fixation. Complication such as infection, bleeding, pain, injury to urinary bladder & rectum, and failure of the repair are the most common. ...Read more

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Can my patient swim in beach after her suture removed?

Can my patient swim in beach after her suture removed?

Probabaly okay: If the wound has not completely healed there may be chance for dehiscence and infection. Otherwise it should be okay. ...Read more