MIDLINE CERVICAL CLEFT

By Gary M. White, MD


The midline cervical cleft (MCC) is thought to be a developmental defect secondary to failure of the 1st and 2nd branchial arches to fuse in the midline during the 3rd and 4th weeks of gestation.

Clinical

A congenital linear, vertical, atrophic lesion on the anterior midline of the neck is characteristic. A nipple-like tag may be present at the cranial end and a fistula or sinus at the causal end with atrophic skin in between. A fibrous thickening connects the lesion to the platysma. Contracture of the neck and jaw may occur.

Treatment

Complete surgical excision in infancy is recommended using a Z-plasty technique to prevent contracture and an unaesthetic scar.

References

Indian J Otolaryngol Head Neck Surg. 2013 Dec; 65(4): 367–370

Arch Plast Surg. Jul 2014; 41(4): 429–431

RegionalDerm

Homepage | FAQs | Use of Images | Contact Dr. White


It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.