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Living with Midline cervical cleft

A rare skin difference present from birth, in the middle of the front of the neck.

Understanding Midline cervical cleft

Midline cervical cleft is a rare skin difference present from birth in the middle of the front of the neck.

It appears as a vertical, thin, reddish patch of skin. It may be attached to a fibrous cord under the skin, with a skin tag at the top and a short sinus (a small channel, usually about 1 cm long) at the bottom that may drain fluid. Without surgical removal, scarring can limit how far the neck can stretch. It is sometimes linked with other developmental differences, such as a split lower jaw or cysts in the neck.

Signs & symptoms

GARD doesn't list a set of most common symptoms for this condition. Its summary describes these features:

  • A vertical, reddish skin patch at the front of the neck
  • A skin tag at the top of the patch
  • A short sinus that may drain fluid
  • A fibrous cord under the skin
  • Limited neck stretching from scarring if untreated

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include ear, nose, and throat specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Ear, nose, and throat specialists (otolaryngologists)
Expert care
Expert lists: World Craniofacial Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with World Craniofacial Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Is surgery recommended, and when is the best time?
What can be done about drainage from the sinus?
Should we check for other related differences, like cysts in the neck or jaw?

Quick facts

GARD doesn't describe a cause for this condition yet.

Also known as: midline brainstem cleft

Patient organizations

Source: NIH GARD · Midline cervical cleftGARD ID 19971 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Midline cervical cleft.

Explore the Midline cervical cleft blog

Explore research for Midline cervical cleft

Explore actively recruiting Midline cervical cleft studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Midline cervical cleft with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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