Can adults get branchial cleft cyst?

Can adults get branchial cleft cyst?

Branchial cleft cysts occur mostly in late childhood or early adulthood, with no significant sex bias. Second cleft anomalies represent about 95% of all branchial cleft anomalies,.

How common is branchial cleft cyst?

The exact incidence of branchial cleft cysts in the US population is unknown. Branchial cleft cysts are the most common congenital cause of a neck mass. An estimated 2-3% of cases are bilateral.

How rare is a branchial cleft cyst?

These types of branchial cleft cysts are extremely rare. Part of this is that they are very rarely recognized. In fact, only approximately 30 cases of fourth branchial cleft cysts have been discovered and reported, according to the American Academy of Otolaryngology-Head and Neck Surgery.

Is branchial cleft cyst a birth defect?

A branchial cleft cyst is a birth defect. It is caused when fluid fills a space, or sinus, left in the neck when a baby develops in the womb. After the baby is born, it appears as a lump in the neck or just below the jawbone.

Do branchial cleft cyst need to be removed?

Although not truly a sign of infection, excessive drainage can be bothersome, prompting surgical intervention. Treatment requires complete surgical removal of the cyst and possibly the sinus tract. The exact procedure performed depends upon the anatomical location and type of the branchial cleft abnormality.

Do branchial cleft cysts have to be removed?

The doctor may recommend branchial cleft cyst surgery to have the branchial cyst removed to prevent infection or other complications. If an infection is present with the cyst, the doctor will likely first treat the infection with antibiotics before performing surgery.

How do you get rid of a branchial cleft cyst?

Surgical excision is definitive treatment for branchial cleft cysts. A series of horizontal incisions, known as a stairstep or stepladder incision, is made to fully dissect out the occasionally tortuous path of the branchial cleft cysts.

Do branchial cysts have to be removed?

What is the cause of a branchial cleft cyst?

What are the causes? Branchial cleft cysts and sinus tracts are congenital anomalies, meaning they result from an unexpected change in the womb before birth. Although most commonly unilateral (occurring on one side of the neck), they can be bilateral (both sides of the neck).

Is branchial cleft cyst surgery painful?

After any surgery, some pain is normal, but if it does not decrease or worsens, it may be abnormal and indicate infection or bleeding. Bleeding and infection are possible, as with any surgery. There is not a high incidence of either of these complications with this type of surgery.

What does a branchial cyst feel like?

A branchial cyst commonly presents as a solitary, painless mass in the neck of a child or a young adult. A history of intermittent swelling and tenderness of the lesion during upper respiratory tract infection may exist. Discharge may be reported if the lesion is associated with a sinus tract.

How long does it take to remove a branchial cleft cyst?

Surgery typically takes 1.5 hours. After surgery you will be monitored in the recovery area and then go home. For a branchial cleft cyst, an incision is made in the neck in a neck crease. The exact location and size of the incision varies based on the size and position of the cyst.

How is the diagnosis of a branchial cleft made?

Branchial cleft abnormalities are diagnosed by physical examination. Generally, the specific location of the mass or the fistula opening on the skin can help in the diagnosis. A branchial cleft cyst may not be noticed unless it becomes infected and is painful.

What kind of Doctor do you see for branchial cleft?

Treatment of a branchial cleft abnormality. At The Children’s Hospital of Philadelphia, branchial cleft abnormalities may be treated by an otolaryngologist (ENT) or a general surgeon. Specific treatment will be determined by your child’s doctor based on: Treatment may include surgery to remove the mass.

Is it painful to have a branchial cleft fistula?

A branchial cleft cyst may not be noticed unless it becomes infected and is painful. The skin opening of a branchial cleft fistula drains mucus, and often pulls back into the skin with swallowing movement.

Where are the clefts of the neck located?

Branchial cleft abnormalities are usually located near the front edge of the sternocleidomastoid muscle, which is the neck muscle that extends from the mastoid (jawbone) across to the clavicle (collarbone) and sternum (breastbone). Different types of branchial cleft abnormalities include the following: Cysts or sinuses.