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Midline Cervical Cleft: Case Report and Current Understanding.

Joshua Christopher Hwang1, Robert Perry1,2

  • 1Department of Surgery, SUNY Buffalo, Buffalo, NY, USA.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|October 15, 2024
PubMed
Summary
This summary is machine-generated.

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Congenital midline cervical cleft (CMCC) is a rare birth defect causing neck and jaw issues. Early surgical excision within one year of diagnosis is crucial for optimal cosmetic and functional outcomes.

Area of Science:

  • Pediatric surgery
  • Congenital anomalies
  • Craniofacial abnormalities

Background:

  • Congenital midline cervical cleft (CMCC) is an exceptionally rare congenital anomaly.
  • CMCC can lead to micrognathia and cervical contracture due to mandibular traction.
  • Timely intervention is critical to prevent long-term functional and cosmetic deficits.

Purpose of the Study:

  • To present a case of congenital midline cervical cleft (CMCC) in an infant.
  • To discuss the diagnostic and surgical management of CMCC.
  • To highlight the importance of early recognition and intervention for CMCC.

Main Methods:

  • Case report of a 10-month-old male infant diagnosed with CMCC postnatally.
  • Diagnostic confirmation using ultrasound with color Doppler imaging.
Keywords:
developmentdysmorphologyestheticsetiologyfacial estheticsfacial growthpediatrics

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  • Surgical excision of the lesion with layered closure.

    • Main Results:

    • The infant presented with CMCC diagnosed immediately after birth.
    • Ultrasound confirmed the lesion's characteristics.
    • Surgical excision resulted in good functional and cosmetic outcomes with no complications.

    Conclusions:

    • Early diagnosis and surgical management of CMCC are vital.
    • Optimal surgical approach ensures favorable functional and cosmetic results.
    • Understanding CMCC's presentation, etiology, and differential diagnosis is essential for pediatric surgeons.