Management of a First Branchial Cleft Cyst in a Pediatric Patient: A Case Report

First branchial cleft cysts are rare congenital anomalies in the pediatric population. The variable clinical presentations, ranging from asymptomatic neck masses to recurrent infections or otorrhea, pose significant diagnostic challenges, especially in young children, where anatomical landmarks are less defined, and misdiagnosis is common. This case report presents a detailed analysis of a Work type II first branchial cleft cyst in a one-year-old girl, emphasizing diagnostic strategies, imaging modalities, and individualized management considerations to optimize outcomes while minimizing complications such as facial nerve injury.