Infected branchial cleft cysts or sinuses require antibiotic treatment. If there are persistent problems with drainage or infection, any cysts should be surgically removed.
Most branchial cleft remnants require no treatment. If surgery is required, results are usually good.
Complications include infection of the cyst or sinus.
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.
McGuirt WF Sr. Differential diagnoses of neck masses. In: Cummings CW, Flint PW, Haughey BH, et al., eds. Otolaryngology: Head & Neck Surgery. 4th ed. Philadelphia, Pa: Mosby Elsevier; 2005:chap 112.
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