Cervical dermoid cysts

Cervical dermoid cysts are a common midline congenital neck mass found in the pediatric population. Embryologically, they contain germ cells of ectoderm and mesoderm origin. Dermoids are slow growing, painless, and rarely cause symptoms. Diagnosis is typically clinical; however ultrasound can help to differentiate cystic and solid neck masses. Ultimately, complete surgical excision is curative and recurrences are rare. Operative management of these cysts is a mainstay for the pediatric head and neck surgeon.