There are 3 types of brachial cleft anomalies: Sinus tracts occur when there is one opening in the skin where fluid may drain out of a small hole in the neck. Branchial fistulas occur when one opening forms specifically between the skin and throat lining (pharynx), draining mucus out of the neck. Branchial cleft cysts occur when there is no external opening and liquid cannot drain out of the neck. Then, a collection of fluid forms. A brachial cyst can occur on its own or with a branchial cleft sinus tract or fistula. There are 4 types of branchial cleft cysts: