FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
A 12-YEAR-OLD WHITE GIRL presented with a midline cervical lesion present since birth. A fibrous cord that limited extension of her neck was associated with the lesion. The patient noted occasional mucoid discharge from the inferior aspect of the lesion (Figure 1 and Figure 2). Her medical history was unremarkable, and she had never received any prior medical or surgical intervention for the lesion. On physical examination, a small skin tag was noted at the superior aspect at the level of the hyoid bone. An excoriated, dry tract extended inferiorly and terminated in a small fistulous tract with scant mucoid drainage. The lesion was not affected by swallowing or tongue protrusion.
Soderberg KC, Key JM, Parham DM. Quiz Case 1. Arch Otolaryngol Head Neck Surg. 1999;125(12):1398-1401. doi:10.1001/archotol.125.12.1398