Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a persistent, painless, fluctuant mass located along the anterior border of the sternocleidomastoid muscle. Reports occasional swelling or tenderness, particularly following upper respiratory tract infections. Denies dysphagia, odynophagia, or dyspnea. No history of trauma or prior surgical intervention in the cervical region.
Clinical Examination Findings
Physical examination reveals a soft, non-tender, cystic mass at the level of the carotid bifurcation, anterior to the sternocleidomastoid muscle. The lesion is mobile, non-pulsatile, and does not move with deglutition. No overlying skin erythema or sinus tract opening identified. Neck lymphadenopathy is absent. Cranial nerve examination is intact.
Treatment Protocol
Surgical excision is indicated to prevent recurrent infection and potential malignant transformation. The procedure involves complete resection of the cyst and its associated tract, often requiring identification and preservation of the carotid sheath and cranial nerves. Post-operative management includes wound care, monitoring for hematoma, and potential antibiotic prophylaxis if infected.