Branchial cysts although common, should be managed with great precision because of their proximity to vital neurovascular structures. This case series illustrates how tricky can branchial cysts get, especially during dissection. The third case report demonstrates how branchial cysts can be misdiagnosed with other lesions, thus delaying treatment.

Cystic Hygroma although common in children, can also present in adults. It should be managed with great precision because of its proximity to vital anatomy. This case report discusses a rare presentation of a 52 years old adult presenting with cystic hygroma. It illustrates how difficult can cystic hygroma get, especially during dissection. In this case, careful delineation of structures was done to excise the mass without injury to surrounding nerves and vessels. Cystic hygromas do not resolve spontaneously and surgical excision is the treatment of choice in such cases.