Lateral neck soft tissue anatomy
Typically asymptomatic unless superinfected causing cellulitis or abscess formation
First<unk><unk>  cyst
Lump in parotid/auricular region
Facial nerve palsy
May drain through neck and external auditory canal
Second<unk><unk>  cyst
Most common
Present in late childhood or early adulthood
Swelling below angle of mandible and anterior to sternocleidomastoid
Sinus tracts travel into the deep neck structures and drain into tonsillar fossa
Fistulae cause mucus drainage from cutaneous opening at lateral neck
Very rarely become squamous cell carcinoma
Third and fourth<unk><unk>  cyst
Difficult to differentiate between the two
Located lower in neck, anterior or posterior to sternocleidomastoid
Preference for<unk>  side
Lump in parotid/auricular region
Facial nerve palsy
May drain through neck and external auditory canal
Most common
Present in late childhood or early adulthood
Swelling below angle of mandible and anterior to sternocleidomastoid
Sinus tracts travel into the deep neck structures and drain into tonsillar fossa
Fistulae cause mucus drainage from cutaneous opening at lateral neck
Very rarely become squamous cell carcinoma
Difficult to differentiate between the two
Located lower in neck, anterior or posterior to sternocleidomastoid
Preference for<unk>  side
Branchial cleft anomaly
Reactive lymphadenopathy- most common
Vascular ring
Viral URI
Choanal atresia
EBV
Zygomatic arch fracture
CMV