Midline Cervical Cleft

The congenital midline cervical cleft represents a rare developmental abnormality that is not widely reported in the pediatric literature.1 Usually the lesion is initially evaluated by a pediatrician or other primary care physician who misinterprets the deficit as a branchial cleft deformity or thyroglossal duct cyst. Although developmentally related to these disorders, the congenital midline cleft represents a distinct anomaly that should be recognized at initial examination. The parents can then be appropriately counseled about the implications and further management decisions that are peculiar to this disorder. We have recently treated five cases of congenital midline cervical cleft at the Children's Memorial Hospital, Chicago, IL.

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Sonographic evaluation of congenital cystic neck masses with histopathological correlation

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v24i1.45344 ◽

2020 ◽

Vol 24 (1) ◽

pp. 68-78

Author(s):

Gazi Salahuddin ◽

Md Tarikul Islam ◽

Md Mahmudul Huq ◽

Sutanu Kumar Mondal ◽

Md Abdus Sobhan ◽

...

Keyword(s):

Cystic Hygroma ◽

Cystic Mass ◽

Thyroglossal Duct Cyst ◽

Cervical Region ◽

Branchial Cleft Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Congenital Lesions ◽

Congenital Lesion ◽

Branchial Cleft

Background: Accurate diagnosis is important for planning of management of the congenital cystic neck mass. Clinical history, physical examination and appropriate knowledge of embryology and anatomy of the cervical region frequently allow the differential diagnosis to be narrowed and ultrasound especially high frequency ultrasound help to further confirmation. USG has been used as the initial imaging procedure in the evaluation of them. Ultrasound not only confirms the cystic nature of the lesion but also evaluates exact location, size, extent, relation to the surrounding structures and internal characteristic of mass. Objectives: To establish the usefulness of ultrasound in the evaluation of congenital cystic neck masses. Methods: From January 2014 to March 2018 a total 50 patients with clinically suspected congenital cystic mass in the neck region were selected who under want operative treatment and histopathological examination. A through history taking and physical examination were done then patient were scanned with gray scale ultrasound and colour Doppler in necessary case. Histopathological report collected from the patient and compare with USG diagnosis. Results: In USG 37 patient diagnosed as congenital lesions and 13 patient diagnosed as non-congenital lesion. Among the congenital lesions thyroglossal duct cyst-19, branchial cleft cyst-12, cystic hygroma-4, hemangioma-1 and epidermoid cyst-1. In histopathology 32 patient diagnosed as congenital lesion and 18 diagnosed as non-congenital lesion. Among the congenital lesions thyroglossal duct cyst-18, branchial cleft cyst-8, cystic hygroma-4, hemangioma-1 and epidermoid cyst-1. Among the 19 USG diagnosed thyroglossal duct cyst 17 is confirmed by histopathology and 2 is differ. Among the 12 USG diagnosed branchial cleft cyst 7 is confirmed by histopathology and 5 is differ. Over all sensitivity of USG-93.7% and specificity-64% and accuracy-74%. Conclusion: USG is a useful modality for the diagnosis of congenital cystic mass in the cervical region. Bangladesh J Otorhinolaryngol; April 2018; 24(1): 68-78

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Synchronous Papillary Carcinoma in Thyroglossal Duct Cyst and Thyroid Gland Associated to Untreated Midline Cervical Cleft: A Case Report

JOURNAL OF CASE REPORTS AND STUDIES ◽

10.15744/2348-9820.7.108 ◽

2019 ◽

Vol 7 (1) ◽

Author(s):

Choukry K ◽

Khdim M ◽

Beghdad M ◽

Choukry S ◽

Rouadi S ◽

...

Keyword(s):

Case Report ◽

Thyroid Gland ◽

Papillary Carcinoma ◽

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Midline Cervical Cleft

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Low-lying thyroglossal duct cyst with lateral cervical discharge masquerading as a second branchial cleft fistula: a case report

Journal of Pediatric Surgery ◽

10.1016/j.jpedsurg.2012.10.063 ◽

2013 ◽

Vol 48 (2) ◽

pp. 429-431 ◽

Cited By ~ 2

Author(s):

Sung-Min Hong ◽

Suk-Bae Moon

Keyword(s):

Case Report ◽

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Branchial Cleft

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Ethanol Injection Sclerotherapy for Bakerʼs Cyst, Thyroglossal Duct Cyst, and Branchial Cleft Cyst

Annals of Plastic Surgery ◽

10.1097/00000637-199412000-00009 ◽

1994 ◽

Vol 33 (6) ◽

pp. 615-619 ◽

Cited By ~ 40

Author(s):

Keizo Fukumoto ◽

Tadao Kojima ◽

Hiroshi Tomonari ◽

Kinji Kontani ◽

Shigehiro Murai ◽

...

Keyword(s):

Thyroglossal Duct Cyst ◽

Injection Sclerotherapy ◽

Branchial Cleft Cyst ◽

Duct Cyst ◽

Ethanol Injection ◽

Thyroglossal Duct ◽

Branchial Cleft

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Congenital Midline Cervical Cleft

The Cleft Palate-Craniofacial Journal ◽

10.1597/05-138 ◽

2007 ◽

Vol 44 (1) ◽

pp. 98-101 ◽

Cited By ~ 13

Author(s):

Richard Agag ◽

Justin Sacks ◽

Lester Silver

Keyword(s):

Surgical Treatment ◽

De Novo ◽

Thyroglossal Duct Cyst ◽

Rare Disorder ◽

Duct Cyst ◽

Robertsonian Translocations ◽

Thyroglossal Duct ◽

A Minor ◽

Midline Cervical Cleft

Congenital midline cervical cleft (CMCC) is a rare disorder of the ventral neck that is clinically evident at birth and must be differentiated from the more common thyroglossal duct cyst. The case of CMCC presented here was associated with chromosomes 13/14 de novo Robertsonian translocations as well as midline deformities including a sacral tuft and a minor tongue-tie. The case is presented as well as discussion of histopathology, embryology, and surgical treatment.

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Diagnostic Approach to Congenital Cystic Masses of the Neck from a Clinical and Pathological Perspective

Dermatopathology ◽

10.3390/dermatopathology8030039 ◽

2021 ◽

Vol 8 (3) ◽

pp. 342-358

Author(s):

Amanda Fanous ◽

Guillaume Morcrette ◽

Monique Fabre ◽

Vincent Couloigner ◽

Louise Galmiche-Rolland

Keyword(s):

Vascular Malformations ◽

Thyroglossal Duct Cyst ◽

Anatomical Location ◽

Diagnostic Features ◽

Diagnostic Dilemma ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Branchial Cleft ◽

Cystic Masses ◽

Branchial Cleft Cysts

Background: neck cysts are frequently encountered in pediatric medicine and can present a diagnostic dilemma for clinicians and pathologists. Several clinical items enable to subclassify neck cyst as age at presentation, anatomical location, including compartments and fascia of the neck, and radiological presentation. Summary: this review will briefly describe the clinical, imaging, pathological and management features of (I) congenital and developmental pathologies, including thyroglossal duct cyst, branchial cleft cysts, dermoid cyst, thymic cyst, and ectopic thymus; (II) vascular malformations, including lymphangioma. Key Messages: pathologists should be familiar with the diagnostic features and clinicopathologic entities of these neck lesions in order to correctly diagnose them and to provide proper clinical management.

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