Generic selectors
Exact matches only
Search in title
Search in content
Search in posts
Search in pages
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL Awards 2020
IJDVL International Awards 2018
Images in Clinical Practice
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters in Response to Previous Publication
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Special Article
Specialty Interface
Studies
Study Letter
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Tables
Technology
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
View Point
Viewpoint
What’s new in Dermatology
View/Download PDF
Images in Clinical Practice
2020:86:2;220-221
doi: 10.4103/ijdvl.IJDVL_466_18
PMID: 30729923

Congenital midline cervical cleft

Prashant Bharti, M Ramam, Neetu Bhari
 Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Neetu Bhari
Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi - 110 029
India
Published: 06-Feb-2019
How to cite this article:
Bharti P, Ramam M, Bhari N. Congenital midline cervical cleft. Indian J Dermatol Venereol Leprol 2020;86:220-221
Copyright: (C)2020 Indian Journal of Dermatology, Venereology, and Leprology

A 4-year-old boy presented with a vertically oriented, linear, erythematous atrophic plaque of size 4.5 × 0.5 cm in the midline of the neck with a nipple-like protrusion present cranially and a blind-ending sinus tract caudally [Figure - 1]. The plaque was present since birth and was asymptomatic except for an intermittent sero-sanguineous discharge from the sinus. Fluoroscopic evaluation of the sinus tract revealed a 1.5 cm blind tract with a smooth outline in the subcutaneous plane; the underlying soft tissue and bones were normal [Figure - 2]. A diagnosis of congenital midline cervical cleft was made and the patient was referred to the surgery department for excision of the plaque.

Figure 1: Linear erythematous atrophic plaque in the midline of the neck with a nipple-like protrusion present cranially and a blind-ending sinus tract caudally
Figure 2: Fluoroscopic image showing a smooth outlined blind-ending tract of size 1.5 cm. Sinus is noted in the subcutaneous plane with no active collection. Underlying soft tissue and bones are normal

Congenital midline cervical cleft is an extremely rare entity that results from an impairment in the fusion of first or, more commonly, second branchial arches and can be found anywhere along the midline from the chin to the suprasternal notch. Scarring and resultant fibrous cord formation in the later stages may lead to neck contracture, and eventually torticollis or micrognathia. The knowledge of this entity is important as it can be mistaken for scrofuloderma, thyroglossal duct cysts and branchial cleft anomalies in children. Surgical excision with closure of the soft tissue defect is the treatment of choice. Recurrence rate is high and is reported even after 9 years of the excision.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the legal guardian has given his consent for images and other clinical information to be reported in the journal. The guardian understands that names and initials will not be published and due efforts will be made to conceal patient identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.


Fulltext Views
574

PDF downloads
418
Show Sections