Avoiding surgical pitfalls during resection of a "hybrid" first and second branchial cleft cyst - A case report.

• The patient remains free of recurrence with normal facial nerve function Case BCCs generally present with recurrent drainage from a pit-like depression at the angle of the mandible. The internal opening of the sinus provides important information regarding the origin of a BCC (1). Complete surgical excision of the tract is critical since these tracts do not spontaneously regress and there is a high risk of recurrent infection with incomplete resection (3).