Congenital midline cervical cleft: Case report and review

ABSTRACT Aim To highlight a rare case of a congenital midline cervical cleft (CMCC) in context with embryological theories/hypothesis, presentation, and management along with review of literature. Introduction Congenital midline cervical cleft is a rare but interesting anterior neck anomaly with controversial theories/ hypothesis regarding its embryogenesis. Case report We describe here a classical case of midline cervical cleft that presented at birth with a cephalocaudal orientation, extending from the level below the hyoid bone to the suprasternal notch with a length of 3 cm and width of 0.5 cm. At 6 months of age, the lesion was excised and closure was done by multiple Z-plasty, with satisfactory results. Discussion Although the diagnosis is clinical, it is frequently misdiagnosed. The associated clinical features could include thyroglossal duct cysts, cleft lip/mandible/sternum, cervical contractures, mandibular spurs, microgenia, and/or bronchogenic cysts. If it is not treated at an early age, it can result in complications like webbing of the neck, dental malocclusion, and restricted neck movements. Conclusion Earliest recognition of CMCC and proper intervention can provide better esthetic and functional prognosis. Clinical significance A correct earlier recognition of the lesion and appropriate surgical management are key to avoid longterm complications. How to cite this article Jaiswal AA, Behera BK, Membally R, Mohanty MK. Congenital Midline Cervical Cleft: A Case Report with Review of Literature. Int J Head Neck Surg 2017;8(1):25-30.

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Craniofacial Morphology in Midline Cervical Cleft: Case Report and Review of Literature

The Cleft Palate-Craniofacial Journal ◽

10.1597/15-126 ◽

2017 ◽

Vol 54 (2) ◽

pp. 235-241 ◽

Cited By ~ 2

Author(s):

Dorota Cudzilo ◽

Teresa Matthews-Brzozowska ◽

Barbara Obloj

Keyword(s):

Case Report ◽

Orthodontic Treatment ◽

Cranial Base ◽

Craniofacial Morphology ◽

Craniofacial Anomalies ◽

Review Of Literature ◽

Mandibular Plane ◽

Mandibular Retrusion ◽

Surgical Treatments ◽

Midline Cervical Cleft

Congenital midline cervical cleft is a rare anomaly of the neck. This paper presents the case of a boy diagnosed with this disorder in which a preliminary orthodontic treatment was implemented. The craniofacial anomalies associated with this malformation produced a defect that could only be successfully treated through the implementation of orthodontic and surgical treatments. In this case, congenital midline cervical cleft was accompanied by certain disorders within the facial structures of the skull, primarily mandibular retrusion, flattening of the contour of the mandibular base, and a steep angle between the cranial base and the mandibular plane.

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Congenital Midline Cervical Cleft Case Report and Review

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949510401011 ◽

1995 ◽

Vol 104 (10) ◽

pp. 808-811 ◽

Cited By ~ 27

Author(s):

Donald A. Maschka ◽

John E. Clemons ◽

John F. Janis

Keyword(s):

Case Report ◽

English Language ◽

Clinical Presentation ◽

Respiratory Epithelium ◽

Proper Treatment ◽

Wide Range ◽

Bronchogenic Cysts ◽

Midline Cervical Cleft ◽

Language Literature ◽

Midline Cleft

Congenital midline cervical cleft is a rare disorder with a wide range of presentations. To date, there have been fewer than 35 cases reported in the English-language literature. A rarer finding is the association of bronchogenic cysts or respiratory epithelium with the midline cleft. The clinical presentation of congenital midline cervical cleft with a cephalic skin tab, atrophic cleft, and caudal sinus may distinguish it from other conditions of the midline neck. We present an 18-month-old girl with congenital midline cervical cleft to illustrate its clinical presentation and the proper treatment of this condition.

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Congenital Midline Cervical Cleft: Case Report and Review of the English Language Literature

Pediatric Dermatology ◽

10.1046/j.1525-1470.2000.01727.x ◽

2000 ◽

Vol 17 (2) ◽

pp. 118-122 ◽

Cited By ~ 37

Author(s):

Jennifer P. Eastlack ◽

Renee M. Howard ◽

Ilona J. Frieden

Keyword(s):

Case Report ◽

English Language ◽

English Language Literature ◽

Midline Cervical Cleft ◽

Language Literature

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Congenital Midline Cervical Cleft: A Case Report

The Internet Journal of Surgery ◽

10.5580/956 ◽

2010 ◽

Vol 22 (1) ◽

Keyword(s):

Case Report ◽

Midline Cervical Cleft

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Misophonia: An Evidence-Based Case Report

American Journal of Audiology ◽

10.1044/2020_aja-19-00111 ◽

2020 ◽

Vol 29 (4) ◽

pp. 685-690

Author(s):

C. S. Vanaja ◽

Miriam Soni Abigail

Keyword(s):

Quality Of Life ◽

Case Report ◽

Case History ◽

Pure Tone ◽

Physiological Responses ◽

Evidence Based ◽

Management Option ◽

Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

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Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

Perspectives on Fluency and Fluency Disorders ◽

10.1044/ffd21.1.11 ◽

2011 ◽

Vol 21 (1) ◽

pp. 11-21 ◽

Cited By ~ 2

Author(s):

Farzan Irani ◽

Rodney Gabel

Keyword(s):

Case Report ◽

Therapeutic Intervention ◽

Intensive Therapy ◽

Positive Outcome ◽

Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

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