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Congenital Midline Cervical Cleft with Respiratory Epithelium: A Rare Association

Jyoti Manakchand Bothra1, Harish Jayaram1, Mainak Deb1

  • 1Department of Paediatric Surgery, Rainbow Children's Hospital, Hyderabad, Telangana, India.

Journal of Indian Association of Pediatric Surgeons
|July 28, 2018
PubMed

Insights

Congenital midline cervical clefts typically present with squamous epithelium. This case highlights a rare variant in a child with chronic mucocutaneous candidiasis, featuring respiratory epithelium and cysts, necessitating distinct management.

Area of Science:

  • Pediatric Surgery
  • Developmental Biology
  • Dermatology

Background:

  • Congenital midline cervical cleft is a rare congenital anomaly presenting at birth.
  • Histological examination usually reveals stratified squamous epithelium.

Observation:

  • A 1-year-old boy presented with chronic mucocutaneous candidiasis.
  • The patient exhibited two cysts and focal respiratory epithelium within the cervical cleft defect.

Findings:

  • This case presents an unusual histological finding of respiratory epithelium in a congenital midline cervical cleft.
  • The association with chronic mucocutaneous candidiasis is notable and warrants further investigation.

Implications:

  • Optimal surgical treatment strategies may need to be tailored based on the specific histological findings.
  • This case expands the understanding of the spectrum of congenital midline cervical cleft presentations and their associated pathologies.

Keywords:
Congenital cleftmidline cervical cleftrespiratory epithelium

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