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Midline cervical cleft
Plastic and Reconstructive Surgery
|August 1, 1985
Summary
Midline cervical cleft, a rare congenital neck anomaly, is linked to branchiogenic syndromes. Surgical correction involves complete excision and Z-plasty closure for optimal outcomes.
Area of Science:
- Congenital Anomalies
- Developmental Biology
- Surgical Techniques
Background:
- Midline cervical cleft is an infrequent congenital malformation affecting the anterior neck.
- It represents a spectrum of midline branchiogenic syndromes.
- These syndromes arise from aberrant cell migration originating from the branchial arches.
Purpose of the Study:
- To report a series of 12 cases of midline cervical clefts.
- To describe the clinical presentation and management of this rare anomaly.
- To elucidate the embryological basis and surgical approach for midline cervical clefts.
Main Methods:
- Retrospective review of 12 cases over 30 years.
- Surgical intervention involving complete cleft excision.
- Reconstruction utilizing multiple Z-plasties.
Main Results:
- Successful surgical correction in all reported cases.
- Demonstration of the efficacy of complete excision and Z-plasty.
- Confirmation of the association with branchiogenic syndromes.
Conclusions:
- Midline cervical clefts are part of a broader spectrum of branchiogenic anomalies.
- Complete surgical excision of the cleft and fibrous cord is the recommended treatment.
- Z-plasty provides effective closure for midline cervical clefts.