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Branchial cleft cyst


Definition:

A branchial cleft cyst is a lump that develops in the neck or just below the collarbone. It is a type of birth defect.

Alternative Names:

Cleft sinus

Causes, incidence, and risk factors:

Branchial cleft cysts form during development of the embryo. They occur when tissues in the neck and collarbone area (branchial cleft) fail to develop normally.

The birth defect may appear as open spaces called cleft sinuses, which may develop on one or both sides of the neck. A branchial cleft cyst may form from fluid drained from a sinus. The cyst or sinus can become infected.

Symptoms:
  • Small pits, lumps, or skin tags at either side of the neck or just below the collarbone
  • Fluid drainage from a pit on the neck
Signs and tests:

Your baby's health care provider may be able to diagnose this condition during a physical examination. The following tests may be done:

  • CT scan
  • MRI scan
  • Ultrasound
Treatment:

Antibiotics will be given if the cyst or sinuses are infected.

Surgery is generally done to remove a branchial cyst to prevent complications, such as repeated infections.

Expectations (prognosis):

Surgery is usually successful, with good results.

Complications:

The cyst or sinuses may become infected.

Calling your health care provider:

Call for an appointment with your health care provider if you notice a small pit, cleft, or lump in the neck or upper shoulder of your infant, especially if fluid drains from this area.

References:

Wetmore RF, Potsic WP. Differential diagnosis of neck masses. In: Flint PW, Haughey BH, Lund LJ, et al, eds. Cummings Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2010:chap 198.


Review Date: 11/13/2011
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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