Anterior midline neck webbing with microgenia and symphyseal exostosis

A rare case of midline cervical webbing with microgenia and a submental bony spur in a 6-year-old boy is presented. An area of ulceration was associated with the web, and a sinus was identified histologically in the region closely related to a cyst lined with pseudostratified ciliated columnar epithelium. The developmental origins of these lesions are discussed. Primary management comprises excision and Z-plasty, but mandibular surgery may be necessary at a later stage.