Figure 1. (A, Left) Frontal photograph of patient with premature fusion of sagittal suture showing the characteristic temporal pinching. (Right) Lateral photograph reveling increase in the anterior-posterior diameter of the skull (long narrow skull), the frontal bossing and occipital bulging (occipital bullet), which are the main clinical characteristics of sagittal craniosynostosis. (B, Left) Frontal photograph of patient with premature fusion of the right coronal suture showing the retrusion of the ipsilateral frontal bone fusion and compensatory contralateral bulging, asymmetry of the eyebrows, orbits, ears, nose, jaw, as well as convergent strabismus of the left eye. (Right) 3D CT reconstruction showing the premature fusion of the right coronal suture and the elevation of the ipsilateral sphenoid wing leading to an elongate orbit, recognized as the “harlequin orbit”. (C, Left) Frontal photograph of patient with premature fusion of metopic suture showing the triangular aspect of the forehead with retruded crests of the orbits bilaterally and hypoteleorbitism (approximation of orbits). (Right) Basal view revealing the triangular appearance of the skull. (D) Lateral photograph of patient with premature fusion of lambdoid suture showing the turricephalic aspect of the skull. Two-dimensional photographs and radiological documentations belong to SOBRAPAR Hospital's archives. Informed consent forms were signed by the patient's parents.