The congenital cervical midline cleft

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Presentation transcript:

The congenital cervical midline cleft The congenital cervical midline cleft. Case report and review of literature  Richard O.E. Gardner, Anthony L.H. Moss  British Journal of Plastic Surgery  Volume 58, Issue 3, Pages 399-403 (April 2005) DOI: 10.1016/j.bjps.2004.10.015 Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

Figure 1 (a) At presentation. (b) Anterior close-up view. (c) Lateral close-up view. British Journal of Plastic Surgery 2005 58, 399-403DOI: (10.1016/j.bjps.2004.10.015) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

Figure 2 Sinugram. Catheter inserted into sinus with contrast injected delineating the length of the tract. British Journal of Plastic Surgery 2005 58, 399-403DOI: (10.1016/j.bjps.2004.10.015) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

Figure 3 Excision and closure of the cervical midline cleft: diagrammatic representation of the incisions made in the operation. Flap ‘y’ is rotated into the releasing incision to its left. Flap ‘x’ is moved towards the midline. Diagrammatic representation of the final closure. British Journal of Plastic Surgery 2005 58, 399-403DOI: (10.1016/j.bjps.2004.10.015) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

Figure 4 Cross-section of caudal aspect of CMCC demonstrating the cleft. British Journal of Plastic Surgery 2005 58, 399-403DOI: (10.1016/j.bjps.2004.10.015) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

Figure 5 Magnification of previous slide demonstrating rudimentary salivary glandular tissue. British Journal of Plastic Surgery 2005 58, 399-403DOI: (10.1016/j.bjps.2004.10.015) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

Figure 6 Thirty-six day old human embryo. Note the proximity of the cardiac bulge with that of the developing branchial arches (Reproduced with kind permission of Dr Sandra Webb, Senior Research Fellow, Hamilton Resource, St George's Hospital Medical School). British Journal of Plastic Surgery 2005 58, 399-403DOI: (10.1016/j.bjps.2004.10.015) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

Figure 7 Frontal view of embryo at 24 and 26 days, before and after the mandibular prominence merges in the midline. British Journal of Plastic Surgery 2005 58, 399-403DOI: (10.1016/j.bjps.2004.10.015) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions