Protruding Forehead

Protruding Forehead
Figure 1.31. Another example of acro-cephalosyndactyly in an infant whose mother had the same condition. Note the turribrachycephaly, high steep frontal bones, protruding forehead, flat midface, small pinched nose, and the downward slant of the palpebral fissures.

1.33

Figure 1.33. In this figure of the same infant, note on the left die syndactyly of the hand and on the right die syndactyly of the foot. These infants have symmetrical syndactyly.

What Apert Syndrome

Figure 1.34. In infants with Carpenter's syndrome (acrocephalopolysyndactyly), the facial appearance is similar to that of infants with Apert's syndrome; in addition, there is polysyn-dactyly. This infant with Carpenter's syndrome shows the high steep protruding forehead, the flat midface, the small pinched nose, and the downward slanting of the palpebral fissures.

Figure 1.34. In infants with Carpenter's syndrome (acrocephalopolysyndactyly), the facial appearance is similar to that of infants with Apert's syndrome; in addition, there is polysyn-dactyly. This infant with Carpenter's syndrome shows the high steep protruding forehead, the flat midface, the small pinched nose, and the downward slanting of the palpebral fissures.

Carpenter Syndrome
Figure 1.35. Oblique view of the same infant with Carpenter's syndrome shows the high steep forehead and turribrachycephaly. Note the ridges of the fused coronal sutures.

Figure 1.36. Frontal and lateral radiographs of the skull in the same infant show the premature fusion of the coronal sutures and the turribrachy-cephaly.

Figure 1.36. Frontal and lateral radiographs of the skull in the same infant show the premature fusion of the coronal sutures and the turribrachy-cephaly.

Cephaly Infants

1.36

Protruding Forehead Babies Causes

Figure 1.37. The left hand of the same infant as in Figures 1.34-1.36 with Carpenter's syndrome shows the polysyndactyly. Note the extra digit and the syndactyly which presents in the form of webbing.

Syndromes With Extra Digits

Figure 1.38. Symmetrical poly syndactyly of the feet in the same infant with Carpenter's syndrome.

1.39

Syndactyly Baby
Figure 1.39. Radiographs of the feet and the right hand in the same infant with Carpenter's syndrome.
Carpenter Syndrome

Figure 1.40. This neonate presented with the typical features of Crouzon's disease (craniofacial dysostosis). Note the deformed skull due to craniosynostosis of the coronal, sagittal, and metopic sutures. There is an antimongoloid slant to the eyes, shallow orbits with hypertelorism and hypoplasia of the facial bones. The nose is short with a low bridge. There is a short upper lip with a protruding lower lip. These infants may later develop exophthalmos.

Premature Baby High Forehead

Figure 1.41. Lateral view of the same infant. Note the brachycephaly, high forehead, shallow orbits, and hypoplastic maxilla. This gives the appearance of a "dished-in" facies. The mandible may appear to be prognathic in contrast. Radiographs of the skull of these infants show premature synostosis with shortening of the base of the skull and narrowed optic foramina. Surgical treatment is essential.

Figure 1.41. Lateral view of the same infant. Note the brachycephaly, high forehead, shallow orbits, and hypoplastic maxilla. This gives the appearance of a "dished-in" facies. The mandible may appear to be prognathic in contrast. Radiographs of the skull of these infants show premature synostosis with shortening of the base of the skull and narrowed optic foramina. Surgical treatment is essential.

Figure 1.40. This neonate presented with the typical features of Crouzon's disease (craniofacial dysostosis). Note the deformed skull due to craniosynostosis of the coronal, sagittal, and metopic sutures. There is an antimongoloid slant to the eyes, shallow orbits with hypertelorism and hypoplasia of the facial bones. The nose is short with a low bridge. There is a short upper lip with a protruding lower lip. These infants may later develop exophthalmos.

Figure 1.42. A 3-month-old infant with Crouzon's disease. Note the previous findings but in addition there is exophthalmos. Exophthalmos is not usually present at birth but develops later.

Neonatal Exophthalmos

1.42

Micrognathia Infants

Figure 1.43. A flat facies is seen in many syndromes. It should be recognized that normal infants, such as this neonate, may present with the same appearance. Note the prominent forehead, flat nose and mild micrognathia which results in the flat facies.

1.44

Figure 1.43. A flat facies is seen in many syndromes. It should be recognized that normal infants, such as this neonate, may present with the same appearance. Note the prominent forehead, flat nose and mild micrognathia which results in the flat facies.

Portuding Philtrum

Figure 1.44. This normal infant has what appears to be a depressed nasal bridge. The mother had the same facies. Bulging over the nasal bridge, which appears when the infant cries may indicate the presence of an anterior encephalocele.

Tented Upper Lip

Figure 1.45. When too much tissue develops in (or migrates into) the upper midfacial zone it causes varying degrees of frontonasal dysplasia. The nasal bridge is broad, and extreme hypertelorism is always present. In severe cases there may be several centimeters of separation, with aberrant formation of the philtrum and upper lip (such as an extremely short philtrum and a tented upper lip). This infant is an example of a median cleft nose (frontonasal dys-plasia). Note the prominent epicanthic folds. Although nasal clefting may be a normal variant, prominent midline clefting may be associated with holoprosencephaly, as part of the median cleft syndrome, and thus requires a diagnostic evaluation. CT scan in this infant confirmed the presence of holoprosencephaly.

Figure 1.46. Note the median nasal pit in this infant. As with any midline lesion on the head or back, one should check to be sure this does not represent the end of a tract that communicates with the central nervous system. Danger signs include hairs implanted in the pit, fluid emerging from its depths or any underlying bony defect or cystic mass.

Figure 1.46. Note the median nasal pit in this infant. As with any midline lesion on the head or back, one should check to be sure this does not represent the end of a tract that communicates with the central nervous system. Danger signs include hairs implanted in the pit, fluid emerging from its depths or any underlying bony defect or cystic mass.

Nasal Pits Infants
Figure 1.47. Lateral nasal clefts may occur in otherwise normal infants.
Nasal Cleft
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Responses

  • MAURIZIA
    What is a apert syndrome?
    6 years ago
  • petra
    How to flatten the protruded forehead?
    6 years ago
  • wade noble
    What causes a cyst on your forehead?
    6 years ago
  • Flambard
    What cause an infants forehead to protrude?
    5 years ago
  • johanna
    What are conditions that cause a protruding forehead?
    4 years ago
  • Hassan
    How to flatten my baby fore head?
    4 years ago
  • Cosma
    Are pertruding forheads in infants normal?
    4 years ago
  • Colomba
    Do preemies have flat nose bridge?
    4 years ago
  • gustava
    What causes bulging of the forehead in preemies?
    4 years ago
  • Susanna Korhola
    Do premies have concave foreheads?
    3 years ago
  • wolfgang koenig
    What does protruding forehead kean?
    3 years ago
  • sven
    What cayses protruding forehead baby?
    2 years ago
  • Karita
    Do premature babies have larger forehead?
    2 years ago
  • Urho
    How to flaten babies forehead?
    2 years ago
  • John
    How do i flattened my forehead?
    1 year ago
  • Tellervo
    What causes a protruding forhead in infants?
    9 months ago
  • ahti
    Did your preemie have frontal coronal newborn?
    7 months ago

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