A case of congenital midline cervical cleft treated with single Z-plasty; [Z-plasti ile onarim yapilan konjenital orta hat servikal kleft olgusu]
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Date
2007
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Abstract
Congenital midline cervical cleft (CMCC) is a rare developmental anomaly in the ventral aspect of the neck. The most excepted theories of embryologic development is impaired fusion of the distal branchial arches in the midline. If the lesion is remain untreated, it causes cicatrical contracture in the neck over time. For this reason complete excision is necessary. We present a case of CMCC treated with Z-plasty closure, because it is very rare. 3 day old male infant was brought to the hospital due to the lesion at his neck, and diagnosed as thyroglossal sinus and recommended to have an operation. When the patient presented to our clinic, his physical examination showed lineer cleft lined with atrophic pink epithelium on the ventral mid-cervical line. The patient underwent elliptically complete excision of the lesion at 3 months of age with intratracheal general anesthesia. The closure of the vertical deficiency was accomplished by single-Z-plasty. As, CMCC is reported as a rare abnormality diagnosis can be assess difficultly. Diagnosis and the treatment of this abnormality should be managed as soon as possible, in order to prevent the neck contracture highly likely to develop in the future.