Congenital Mid-line Cervical Cleft: A Case Report.
Abhishek Peapally Venugopal1, Appala Sireesha Tirumalaraju1, Rajeev Santosh Peethala1
1Department of Neonatology, Fernandez Hospital, Hyderabad, India.
Summary
Congenital midline cervical cleft (CMCC) is a rare neck defect. Early surgical intervention is recommended for optimal outcomes in affected infants.
Area of Science:
- Pediatric Surgery
- Congenital Malformations
- Head and Neck Surgery
Background:
- Congenital midline cervical cleft (CMCC) is a rare congenital anomaly affecting the anterior neck.
- It occurs in 1.7-2.0% of births and can be associated with other midline defects.
- CMCC may lead to micrognathia and cervical contractures, necessitating timely management.
Purpose of the Study:
- To report a case of congenital midline cervical cleft diagnosed neonatally.
- To highlight the diagnostic modalities and surgical management of CMCC.
- To emphasize the importance of early intervention for this condition.
Main Methods:
- Case presentation of a male neonate diagnosed with CMCC at birth.
- Diagnostic confirmation using ultrasound and magnetic resonance imaging (MRI) of the neck.
- Surgical excision of the cervical cleft lesion.
Main Results:
- The neonate was diagnosed with CMCC via imaging studies.
- Surgical excision was performed at 3 years of age.
- The patient is reported to be doing well post-surgery.
Conclusions:
- Congenital midline cervical cleft is a rare condition requiring prompt diagnosis.
- Imaging techniques like ultrasound and MRI are crucial for CMCC diagnosis.
- While early surgical excision is advised, successful outcomes can be achieved even with delayed intervention.

