Frontal bone

Os frontale

The single bone of the forehead, which also roofs both eye sockets and forms the front of the cranial vault.

At a glance

English
Frontal bone
Latin (TA2)
Os frontale
System
Bone
Region
Head
Side
Single, on the midline
Muscles on it
Temporalis

About the frontal bone

The frontal bone gives the forehead its shape and closes the front of the braincase. In the adult it is one bone, set in front of the two parietal bones and above the skeleton of the face. Its large upright plate, the squamous part, makes the forehead itself. Below and behind this, a horizontal orbital part made of two thin plates roofs the orbits and the front of the cranial floor. A small nasal part lies between the orbits. Its name is simply the Latin frons, forehead.

On the outer face, two rounded frontal eminences sit above the orbits, and below them the brow ridges curve over each orbital margin and meet at the smooth glabella. The margin of each orbit carries a notch or small foramen for the supraorbital nerve and vessels, and at its outer end it becomes the zygomatic process, from which the temporal line sweeps up and back. Inside, the squama is hollowed to fit the frontal lobes, with a midline groove for the superior sagittal sinus that narrows below into the frontal crest. The orbital plates are thin; beneath each lie the fossa for the lacrimal gland laterally and the trochlear fovea medially, and between the two plates the ethmoidal notch is filled by the ethmoid's cribriform plate. The frontal sinuses are hollowed out of the bone behind the brow ridges.

The thick, toothed upper border meets the parietal bones at the coronal suture, and lower down each side joins the greater wing of the sphenoid, while the back edges of the orbital plates meet the lesser wings. The nasal part meets the nasal bones, the frontal processes of the maxillae and the lacrimal bones, and the zygomatic processes meet the zygomatic bones. The bone forms in membrane from two halves, one centre above each orbit appearing late in the second month before birth. At birth the halves are still divided by the frontal (metopic) suture, which normally closes in early childhood but stays open in some adults.

Clinically, an open metopic suture can be mistaken for a fracture on a radiograph. A direct blow to the forehead may break the bone over the frontal sinus, and the thin orbital plates can be pierced by a sharp object driven up through the orbit, opening a route from the eye socket to the brain.

Function and supply

Function
Shields the frontal lobes and the eyes from above and gives the forehead and brow their shape; its temporal line anchors the temporal fascia and its lower orbital surface carries the pulley for superior oblique.
Nerve supply
Not supplied as a muscle is; the supraorbital and supratrochlear nerves, from the ophthalmic division of the trigeminal nerve, cross its outer surface to the forehead skin, and meningeal branches of the trigeminal nerve supply the dura on its inner face.
Blood supply
The supraorbital and supratrochlear arteries supply the outer surface, while the anterior branch of the middle meningeal artery and the meningeal twigs of the anterior ethmoidal artery supply the inner surface and diploe.

Anthromica

See the frontal bone where it really sits, with every layer of the body around it.

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