Commonly encountered head and neck lesions in children are described w
ith an emphasis on evaluation, diagnosis, and treatment. Congenital le
sions typically require excision, although hem angiomas usually resolv
e spontaneously. Acute suppurative lymphadenitis is common and readily
diagnosed. Chronic lymphardenitis remains a diagnostic challenge and
must be differentiated from malignancy. Lesions that do not respond to
antibiotics should be biopsied to exclude neoplasms.