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The patient was seen regularly and noted to have improvement in frontal appearance with resolution of trigonocephaly at 20-months of age. The frontal width improved to 95mm and intercanthal distance was 33mm. Repeat computed tomography scan showed a metopic ridge, but all prior characteristics of metopic synostosis were no longer present. The pre and post-orthotic therapy interfrontal angle were 94° and 98° (normal range 125–160°), respectively. Based on clinical findings, surgery was not recommended.

Abstract: Trigonocephaly: Are We Able to Establish Objective Clinical Parameters Without the Need for CT-Based Analysis?