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It is essential to recognize the condition and excise the lesion within 1 year of diagnosis to mitigate long term cosmetic and functional problems. We report a 10-month-old male infant with CMCC diagnosed immediately after birth. Ultrasound with color doppler imaging confirmed the anatomic characteristics of the lesion. The lesion was surgically excised and closed in layers, with no postoperative complications and good functional and cosmetic results. The pathognomonic presentation, etiology, differential diagnosis, and optimal surgical approach are also discussed.<\/jats:p>","DOI":"10.1177\/10556656241289363","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T03:58:24Z","timestamp":1728964704000},"page":"2180-2186","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Midline Cervical Cleft: Case Report and Current Understanding"],"prefix":"10.1177","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2998-8928","authenticated-orcid":false,"given":"Joshua Christopher","family":"Hwang","sequence":"first","affiliation":[{"name":"SUNY Buffalo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Perry","sequence":"additional","affiliation":[{"name":"SUNY Buffalo"},{"name":"Division of Pediatric Plastic Surgery, John R. 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