Protruding Frontal Bosses: Causes, Symptoms, and Treatment

What are protruding frontal bosses?

Protruding frontal bosses are abnormal changes in the forehead where a part of the frontal bone protrudes outward significantly. This can either be a congenital feature or the result of trauma or diseases. These changes are often not painful but may cause aesthetic concerns.

Causes of protruding frontal bosses

• Congenital traits. Some people have more pronounced frontal bosses due to genetic predisposition, which is not related to any diseases.
• Injuries. Blows or fractures to the forehead can alter the shape of the frontal bone and lead to protrusions.
• Hormonal changes. During puberty or other hormonal fluctuations, changes in bone structure can occur, including in the forehead.
• Genetic disorders. Some genetic disorders, such as Prader-Willi syndrome or Crouzon syndrome, can cause abnormal bone changes, including protruding frontal bosses.

Symptoms

• Protrusion on the forehead. The main symptom is a noticeable protrusion in the forehead area, which may be more pronounced on both sides or just one side.
• Absence of pain. Protruding frontal bosses typically do not cause pain.
• Change in forehead shape. There may be a noticeable change in the contour of the forehead, which can lead to asymmetry.

Treatment methods

• Surgical intervention. If protruding bosses cause discomfort or significantly alter appearance, surgery may be recommended to reshape the forehead.
• Monitoring. If the protruding bosses do not cause physical discomfort and are not a result of a disease, simply monitoring their development may be sufficient.
• Plastic surgery. In some cases, plastic surgery methods can be used for cosmetic reasons to change the shape of the forehead.