Midline cervical cleft

The CMCC (congenital midline cervical cleft) lesion is localized between the chin and suprasternal region, usually immediately below the thyroid region. A nipple-like protuberance at the upper end is typical, followed by a reddish skin depression and a sinus tract. A firm fibrous cord is found beneath these superficial skin lesions. For cosmetic reasons, as well as the increased risk of progressive contracture with age and better wound healing in infancy, prompt surgical correction is recommended. By means of ellipsoid excision of the lesion and subsequent closure with Z-plasty, a good cosmetic and functional result can be achieved.