Brushes and fistulas of the neck are lateral

Brushes and fistulas of the lateral neck arise from the remains of embryonic gill arches or the third pharyngeal pocket. More often one-sided. A densely-elastic, painless formation is defined along the anterior surface of the nipple muscle, the mobility of which is somewhat limited. The cyst is more often determined already at the birth of the child.

Diagnosis is facilitated by puncture and contrast of the cyst or fistula, while the size of the cyst is clearly determined, and in the fistula its course and communication with the oral cavity (above or below the tonsils). Dyeing the fistulous course facilitates the diagnosis. Differential diagnosis is performed with cystic lymphangioma, metastases (especially thyroid cancer), glomus tumors.

Treatment operative - removal of a cyst down to an internal aperture in the field of an amygdala. With suppuration - only an autopsy of the abscess, a radical operation is shown after the subsidence of the inflammatory phenomena. The prognosis is favorable, with a non-radical removal there is a relapse.