ABSTRACT
The aim of retrospective study of 60 patients with congenital neck masses seen in our tertiary institution from 1991-1998 is to highlight their pattern in our local setting and to compare our clinical diagnosis with the results of conventional investigations of fine needle aspiration cytology, ultrasound findings and computerized axial tomographic [CT] Scan.We reviewed all cases of congenital neck masses referred and found in the medical records of this main referral hospital in the Assir region of the Kingdom of Saudi Arabia between January 1991 and December 1998. Ultrasound and CT scan confirmed clinical diagnosis in 90% of cases while only 50% were confirmed by fine needle aspiration cytology. Thyroglossal duct cysts were the most common, accounting for 60% of our cases. The mean age at presentation varied from cyst to cyst.Total surgical excision was the treatment of choice in throglossal duct cysts and branchial cycts. The decision to treat or operate in lymphangioma and haemangioma remains that of the surgeon, especially where there are no obstructive symptoms. Ultrasonography and CT scan are in valuable in the differential diagnosis and management of congenital neck masses