Prof. Dr. Ayşenur Meriç Hafız ENT · Head & Neck Surgery
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Prof. Dr. Ayşenur Meriç Hafız ENT · Head & Neck Surgery

Congenital Neck Cysts

Neck Cyst Surgery

In cyst operations the incisions are hidden in natural neck lines. Complete removal of the cyst with its tract is the key to preventing recurrence.

Branchial cleft cysts

Branchial cleft cysts appear as soft, round, painless swellings in the neck. Although present from birth, they usually announce themselves around the twenties, once the material inside has accumulated enough to form a mass. They can swell up after an upper respiratory infection.

Malignant change is rare. If there is infection, antibiotics come first and surgery after. During the operation the cyst's tract is followed and removed with it, so that it does not recur.

Thyroglossal duct cysts

A thyroglossal duct cyst develops when the channel along which the thyroid migrates from the tongue base fails to close. It appears exactly in the midline of the neck, and moves when the tongue is stuck out. Ultrasound and MRI settle the diagnosis easily.

Because this channel passes through the hyoid bone, the operation removes the cyst together with its tract and the central part of the hyoid. Leaving the bone in place is what causes recurrence.

Read the full Congenital Neck Cysts guide

Frequently asked questions

Incisions are hidden in natural neck lines and usually fade with time. Removing the cyst completely, together with its tract, is also the key to preventing recurrence.

Medically reviewed by Prof. Dr. Ayşenur Meriç Hafız, Professor of ENT and Head & Neck Surgery — August 2026 · About

Outcomes of surgical and medical procedures vary from person to person; please consult your physician for an assessment specific to you.

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