Congenital midline cervical cleft in a neonate born to diabe
Congenital midline cervical cleft is a rare developmental anomaly of the neck region with only 200 cases reported till date. Embryologically, it is postulated to be an impaired fusion of distal branchial arches in the midline. Previous studies have reported branchial arch anomalies such as preauricular tags and branchial cleft cyst in neonates with diabetic embryopathy. However, the occurrence of CMCC in a neonate born to diabetic mother has not yet been reported.

A 34+6-week-old preterm male, an outcome of a third-degree consanguineous marriage and spontaneous conception, was born vaginally to a third gravida mother. He weighed 3375 g at birth with a head circumference of 33 cm (50th–90th percentile). He was born through clear liquor with Apgar scores of 9 at 1, 5, and 10 min.

The first sibling was also a preterm and expired at 6 months of age. The mother was not booked in the institution and had uncontrolled type 2 diabetes for the past 3 years. However, the mother denied taking any medication for the same in the past. In addition, the mother also had hypothyroidism for the past 5 years and was on Eltroxin 100 μg daily.

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