A branchial cleft is an abnormal formation of tissue in the neck that is filled with fluid. This condition develops during the first stages of pregnancy, when the neck and throat tissue is forming. Branchial clefts can become infected, especially when your child has another infection like a cold.

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What are the signs and symptoms of a branchial cleft?

The main symptom of a branchial cleft is a small bulge on either side of the neck. The bulge will likely be painless unless infected. If infected, it may leak or cause pain or redness.

What causes a branchial cleft?

Branchial clefts occur while a baby is developing. They are caused by an abnormal growth in the neck and throat tissue that leads to a fluid-filled pocket.

How are branchial clefts treated?

Treatment will depend on your child’s symptoms and how severe they are. It will also depend on whether the cleft is infected or not. Doctors at Connecticut Children’s can determine the right plan if your child requires treatment for a branchial cleft.

  • Antibiotics may be needed if your child develops an infection
  • If the cleft is infected, your child’s doctor may need to puncture the pocket to drain the fluid
  • The cleft may need to be removed by surgery if your child has severe symptoms, such as repeated infections or trouble swallowing or breathing. The experienced surgeons at Connecticut Children’s use minimally invasive techniques whenever possible.