First Branchial Cleft Cyst Type II

Abstract

Branchial cleft defects are interestingly rare and so are often not considered as a differential diagnosis. The following is an incident of the anomalie in a 20 year old Sudanese female with a swelling that was misdiagnosed and hence not treated adequately. The swelling started 2 years ago on the right parotid area with no neurological manifestations of facial nerve injury, with a cystic content that ruptured leaving a fistula behind. After MRI was done the fistula was determined, surgical excision of both the swelling and fistula was done. On follow up, no recurrence was noted.