Branchial Cleft Abnormalities in Children
A branchial cleft abnormality is a
cluster of abnormally formed tissue in the neck. Branchial cleft abnormalities may
Cysts or sinuses. These are pockets full of fluid.
Fistulas. These are passages that drain to an opening in the skin surface.
Branchial cleft abnormalities are
often found in front of the large muscles on either side of the neck.
This health problem can cause local
infections that keep coming back. This may happen when your child has another infection,
such as a cold, cough, or sore throat.
A branchial cleft abnormality is a birth defect. It happens when the
tissue in the neck does not form as it should during the early stages of an embryo’s
These are the most common symptoms of a branchial cleft abnormality:
- Small lump or mass on one side of the
neck that is often painless
- Small opening in the skin on the side of the neck that drains mucus or fluid
- Redness, warmth, swelling, pain, and drainage if there is an infection
The symptoms of a branchial cleft
abnormality can seem like other health conditions. Make sure your child sees their
healthcare provider for a diagnosis.
This health problem may be seen at
birth. Or it may be noticed when your child is older.
To diagnose the problem, your
child’s healthcare provider will ask you questions about your child’s health history
current symptoms. They will examine your child, paying close attention to his or her
neck. A branchial cleft abnormality may not be noticed unless it becomes infected
Diagnostic tests may include:
Ultrasound. Sound waves are used to look at the
CT scan. X-rays and a computer are used to make detailed
images of the body. CT scans help to find the exact location of the abnormality and
how large it is. Sometimes dye may also be used during the scan to get even more
Biopsy. For this test, tissue samples are removed from the
body to be looked at under a microscope. This may be done to check for other
Treatment will depend on your child’s symptoms, age, and general health. It will also
depend on how severe the condition is.
A branchial cleft abnormality will not go away without treatment. Treatment may include:
medicine if your child has an infection.
In some children, the healthcare
provider may need to cut into and drain the area.
remove the tissue.
This may be advised to prevent repeated infections.
Branchial cleft abnormalities are often small. But they can become
large enough to cause trouble swallowing and breathing. Repeated infections are
- A branchial cleft abnormality is a
cluster of abnormally formed tissue in the neck.
- A branchial cleft abnormality is a
birth defect. It happens when the neck tissue doesn't form as it should during the
early stages of an embryo’s development.
- This condition is diagnosed by a
physical exam. Diagnostic tests include ultrasound and CT scans.
- Branchial cleft abnormalities are
often small. But they can become large enough to cause trouble swallowing and
breathing. Repeated infections are common.
- Treatment may include antibiotics for infections and surgery to remove the tissue.
Tips to help you get the most from a visit to your child’s healthcare provider:
- Know the reason for the visit and what you want to happen.
- Before your visit, write down questions you want answered.
- At the visit, write down the name of a new diagnosis, and any new medicines, treatments,
or tests. Also write down any new instructions your provider gives you for your child.
- Know why a new medicine or treatment
is prescribed and how it will help your child. Also know what the side effects
- Ask if your child’s condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if your child does not take the medicine or have the test or procedure.
- If your child has a follow-up appointment, write down the date, time, and purpose
for that visit.
- Know how you can contact your child’s provider after office hours. This is important
if your child becomes ill and you have questions or need advice.