This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Branchial cleft anomalies are present at bih or sholy after bih. Which of the following is TRUE about branchial anomaly? 
Select and explain. 
A. Fistulas are more common than cysts, B. For sinuses surgery is not always indicated, C. Cysts present with dysphagia and hoarseness of voice, D. Most commonly due to 2nd branchial remnants
D: Most commonly due to 2nd branchial remnants
Answer: D: Most commonly due to 2nd branchial remnants 
Explanation: The usual course of branchial cleft apparatus anomalies is recurrent infection. These masses may present in the neck as a discrete fullness along the anterior border of the sternocleidomastoid. Cysts are more common than fistulas or sinuses. The majority of branchial cleft cysts arise from the second branchial cleft, with the remainder arising from the first branchial cleft. Third and fouh branchial cleft anomalies are very rare. Surgical excision is performed early rather than later to better ensure that excision is complete. Ref: Otolaryngology: The Essentials edited by Allen M. Seiden, 2002, Page 491.