Lumps and masses in the neck can occur at any age but are more common for children. They may represent congenital cysts, infection, or tumors and need appropriate diagnosis and treatment. The neck is a complex area, filled with many vital blood vessels and nerves, the windpipe and esophagus, salivary glands and the thyroid gland, and the voice box. Appropriate work-up and diagnosis will help to find a diagnosis, and if performed under our direction may be cheaper by avoiding unnecessary tests. If surgery is necessary you need an expert to avoid injury to these structures and prevent death and disability, including facial paralysis, swallowing problems, difficulty speaking, and trouble breathing. The surgeons of Wyoming Otolaryngology have trained for years and are experienced in working in this complicated area – in fact it is in the only area in which we work.