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The aim of this study is to describe the radiological, surgical, and histological findings of the 4 cases treated in our center in the last 8 years and communicate the finding of a contractile structure, anterior to the platysma, composed by striated muscle, figure not previously described. This distinct muscular band is responsible for neck retraction. Removal of this releases cervical tension and is essential to avoid the relapse.<\/jats:p>","DOI":"10.1177\/1055665620947957","type":"journal-article","created":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T04:48:05Z","timestamp":1597726085000},"page":"1422-1427","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Midline Cervical Cleft: An Anatomical Finding and a Proposal for a New Approach"],"prefix":"10.1177","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7388-9160","authenticated-orcid":false,"given":"Mireia","family":"Riba","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Hospital Sant Joan de D\u00e9u, University of Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Bejarano","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hospital Sant Joan de D\u00e9u, University of Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hospital Sant Joan de D\u00e9u, University of Barcelona, Spain"},{"name":"Department of Pediatric Surgery, Hospital Universitario de Burgos, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u00e9s","family":"Moraleda","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hospital Sant Joan de D\u00e9u, University of Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara","family":"Massaguer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hospital Sant Joan de D\u00e9u, University of Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Ribalta","sequence":"additional","affiliation":[{"name":"Department of Pathological Anatomy, Hospital Sant Joan de D\u00e9u, University of Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"G\u00f3mez","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hospital Sant Joan de D\u00e9u, University of Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas","family":"Krauel","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hospital Sant Joan de D\u00e9u, University of Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco J","family":"Parri","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hospital Sant Joan de D\u00e9u, University of Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asteria","family":"Albert","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hospital Sant Joan de D\u00e9u, University of Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,8,18]]},"reference":[{"key":"bibr1-1055665620947957","first-page":"997","volume-title":"Saunders Elsevier","author":"Acierno S","year":"2010","edition":"5"},{"key":"bibr2-1055665620947957","doi-asserted-by":"publisher","DOI":"10.3109\/15513818909022380"},{"key":"bibr3-1055665620947957","doi-asserted-by":"publisher","DOI":"10.1111\/cga.12086"},{"key":"bibr4-1055665620947957","doi-asserted-by":"publisher","DOI":"10.1597\/15-126"},{"key":"bibr5-1055665620947957","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1470.2000.01727.x"},{"key":"bibr6-1055665620947957","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2017.12.006"},{"key":"bibr7-1055665620947957","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198508000-00008"},{"key":"bibr8-1055665620947957","doi-asserted-by":"publisher","DOI":"10.1007\/s00238-001-0336-6"},{"issue":"4","key":"bibr9-1055665620947957","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1590\/S1983-51752012000400031","volume":"27","author":"Hernan A","year":"2012","journal-title":"Rev Bras Cir Plast"},{"key":"bibr10-1055665620947957","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-27443-0_28"},{"key":"bibr11-1055665620947957","doi-asserted-by":"crossref","unstructured":"Lillehei C. 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