Congenital Midline Cervical Cleft

A 3-year-old boy presented with a midline skin defect in the center of the neck. On examination, a 6 cm long and about 1.5 cm wide lesion extending from hyoid bone to the suprasternal notch was noted. There was a nipple like skin hood at the cranial end of the defect with a sinus at the caudal part.