, thyroglossal cysts).Whether it moves when the person sticks out their tongue (thyroglossal cysts).Further examination to help establish the cause may include:Examination of the skin of the head and neck for rashes, lesions or infection.Examination of the ears, nose and throat.Examination of the mouth - for malignancy, dental issues. If parotid disease is suspected, identify the orifice of parotid duct , neuromas and vascular tumours.Thyroid swellings: diffuse enlargement, nodules and cancers[4].Salivary gland problems: tumours, blocked ducts, infection and inflammation.Congenital swellings: thyroglossal cyst, dermoid cyst, cystic hygroma, lymphangioma.Developmental abnormalities: branchial cyst, laryngocele, pharyngeal pouch, cervical rib[5].Carotid body aneurysm or tumour.Malignant tumours: sarcoma