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It may appear by itself or along with other birth defects of the face and skull, such as a cleft lip. Cleft palate and cleft lip are the most common birth defects of the head and neck. Until a cleft palate is treated with surgery, it can cause problems with feeding, speech, and hearing.
When a branchial cleft is not properly involuted, a branchial cleft cyst forms. Occasionally, both the branchial pouch and branchial cleft fail to become involuted, and a complete fistula forms between the pharynx and skin. First branchial cleft cysts. First branchial cleft cysts are divided into type I and type II.Type I cysts are located near the external auditory canal. Most commonly, they are inferior and posterior to the tragus (base of the ear), but they may also be in the parotid gland.Type II cysts appear at the angle of the mandible and may involve the submandibular gland (see the image below). First branchial cleft cyst, type II.hen a branchial cleft is not properly involuted, a branchial cleft cyst forms. Occasionally, both the branchial pouch and branchial cleft fail to become involuted, and a complete fistula forms between the pharynx and skin. First branchial cleft cysts. First branchial cleft cysts are divided into type I and type II.