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

Josiah Williams1, Azwan Halim Abdul Wahab1, Wan Ishlah Leman1

  • 1Department of Otolaryngology-Head and Neck Surgery, International Islamic University Malaysia, Kuantan, MYS.

Cureus
|June 1, 2026
PubMed

Insights

First branchial cleft cysts present diagnostic challenges in children. This case report details managing a Work type II cyst in a one-year-old, focusing on diagnosis and minimizing complications.

Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies
  • Head and Neck Surgery

Background:

  • First branchial cleft cysts are rare congenital anomalies in pediatric patients.
  • Variable clinical presentations, including neck masses and infections, pose diagnostic challenges.
  • Misdiagnosis is common in young children due to less defined anatomical landmarks.