ABSTRACT
Cervical masses in infants and children are frequently
encountered by pediatric surgeons with intriguing clinical
presentations. Some can be easily diagnosed with a good
history and physical examination, such as the thyroglossal
cyst. Others require more extensive investigation and imaging
to accurately diagnose and treat. The vast majority are benign
in origin, however rarely they can be malignant.1 They
frequently form residual structures from embryologic devel-
opment that have failed to resorb completely or mature.
Knowledge of the embryological origins of these cysts and
sinuses, along with the detailed neck anatomy, is essential for
proper management and for ultimately a successful dissection
and excision. In this chapter, we will discuss the embryology
of the neck, followed by a brief review of the common neck
cysts and sinuses, along with their management.
