The neuromuscular hamartoma (also referred to as the neuromuscular cho
ristoma or benign triton tumor) is a rare developmental lesion compose
d of mature elements of both striated muscle and nerve. TO date, less
than 20 cases have been reported in the English language literature. T
he majority of these have involved large nerves, such as the sciatic o
r brachial plexus, but cutaneous lesions have also been reported. We r
eport 2 cases that involve the head and neck and that are among the fe
w described in this location. The majority of cases have been describe
d in infants and young children. However, I of our cases (and at least
1 previously reported case) occurred in an adult. While surgical exci
sion has been the most widely used form of therapy, a few cases have b
een complicated by and/or associated with a second lesion, such as a f
ibromatosis or lymphangioma.