Midline cervical cleft: a case report

A 14-year-old boy presented with complaints of a sinus in the middle of neck, with mucoid discharge present since birth. MRI sinogram along with MRI neck was taken which revealed a sinus tract opening in midline, extending posteriorly and traversing inferiorly to end blindly above sternum. Patient was planned for an elective excision of sinus tract, with z-plasty for decreased scarring. Congenital midline cervical cleft is a rare entity that was first described in 1924. Subsequently there have been fewer than 100 cases reported in medical literature. It typically manifests at birth as a cleft at level of suprasternal notch with a pseudonipple above it. Pathogenesis of congenital midline cervical clefts remains speculative. Differential diagnosis includes thyroglossal duct cysts or branchial cleft anomalies.

Fisura cervical media: reporte de un caso / Congenital mid-line cervical cleft: a case report

Introduction: congenital midline cervical cleft is a rare congenital mid-line anomaly of the neck. There are different theories as to the origins of CMCC. Nevertheless, most believe that is due to impaired fusion of the first and second branchial arches during mesoderm formation. There are less than 100 reported cases in the literature. Case report: a newborn with a mid-line cervical injury without other associated abnormalities. A complete excision of the lesion and the blind-ended sinus were performed and the skin was closed with a Z-plasty approach. Discussion: congenital mid-line cervical cleft requires early diagnosis, the study of associated abnormalities and an early repair is recommended to aesthetically handle the case and to prevent blind-ended sinus infection.

Introducción: la fisura cervical media o cursiva cervical es una anomalía congénita rara de la línea media. Existen varias hipótesis para explicar su origen, la más aceptada es la falla en la fusión del primer y segundo arco branquial durante la mesodermización. Han sido reportados menos de 100 casos en la literatura. Caso clínico: se reporta el caso de un recién nacido con una lesión cervical media sin otras malformaciones asociadas. Se realizó extracción completa de la lesión visible y del seno ciego caudal, cerrándose el defecto con una Z-plastía. Discusión: la fisura cervical media requiere de un diagnóstico precoz y un estudio de malformaciones asociadas, junto con una resolución temprana de este defecto, tanto para el manejo estético como para evitar retracciones e infección del seno ciego.

A Case of Congenital Midline Cervical Cleft / 대한피부과학회지

Congenital midline cervical cleft (CMCC) is a rare congenital anomaly of the ventral of the neck. The CMCC consists of a skin tag, mucosal surface, and a caudal sinus in the ventral midline of the neck. Embryologically, the development of CMCC is thought to be mainly due to failure of the branchial arches to fuse in the midline, resulting in a ventral midline defect of the skin of the neck. We report a rare case of congenital midline cervical cleft in a 6-year old girl, plus a review of the related literature.

A Case of Congenital Midline Cervical Cleft Associated with Congenital Cardiac Anomaly / 대한피부과학회지

Congenital midline cervical cleft is a rare congenital anomaly of the ventral neck. Less than 100 cases have been reported in the literature. This anomaly is part of a spectrum of midline branchiogenic syndromes resulting from abnormal migration of cells derived from the branchial arches. It presents as a small skin tag superiorly with a linear, ventrically oriented atrophic patch. We present a case of congenital midline cervical cleft associated with congenital cardiac anomaly.