Abstract
BackgroundMidline cervical cleft is a very rare congenital anomaly. According to a literature search, until 2014 only 205 cases were reported.Case presentationWe present a classic case of congenital midline cervical cleft. This was a case of a 3-year-old Middle Eastern boy. The lesion was excised and the defect was closed via multiple Z-plasties.ConclusionsMidline cervical cleft, although a rarity, when presented needs surgical treatment, which comprises surgical excision and closure that lessens the possibility of scar visibility and contracture.
Highlights
Midline cervical cleft (MCC) is a rare congenital anomaly
We present a classic case of MCC treated with excision and defect closure via multiple Z-plasties
The MCC consists of epidermis, a mucosal surface skeletal muscle, and glandular tissue
Summary
Midline cervical cleft (MCC) is a rare congenital anomaly. According to a literature search, by 2014 only 205 cases had been reported [1]. It is an entirely sporadic lesion that is only occasionally associated with other developmental defects including bifid mandible and microgenia, clefting of the sternum, and a possible loss of other midline structures, such as portions of the hyoid bone [4, 5]. It is not considered a true cleft because no skin gap exists. One month follow-up examination revealed an uneventful healing period, with redness along the incision scar and some nodularities, which were most probably due to the subcutaneous suture material He was able to move his head in all directions without any restriction or pain (Fig. 6). A 14-month follow-up examination showed an acceptable level of scarring causing no restriction of neck movements (Figs. 7 and 8)
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