Background Midline cervical cleft is a very rare congenital anomaly. According to a literature search, until 2014 only 205 cases were reported. Case presentation We present a classic case of congenital midline cervical cleft. This was a case of a 3-year-old Middle Eastern boy. The lesion was excised and the defect was closed via multiple Z-plasties. Conclusions Midline cervical cleft, although a rarity, when presented needs surgical treatment, which comprises surgical excision and closure that lessens the possibility of scar visibility and contracture.

Bony and cartilage defects of the nose should be reconstructed for both esthetic and functional purposes. In the past, autogenous bones, such as rib bones, cranial bones, and other bone grafts, have been used to reconstruct bony defects of the nose. Rib and ear cartilage have been used to reconstruct cartilage defects of the nose. A congenital subtotal bony-cartilaginous defect of the nose was reconstructed using cranial bone for the nasal bony defect, ear cartilage for the tip cartilage deficiency, and rib cartilage for the septal defect, in the present patient.