Objectives:  Treatment  of cervicofacial  LMs  is challenging.    The aim of this  study is to evaluate the results of different modalities in the management ofCLMs in an attempt to develop an applicable algorithm for the management ofthese cases. Patients and methods:  26 patients with a CLM were classified into 3 groups: •       Group A: Patients with isolated cervical cystic malformations (18/26 patients). •       Group B: Patients with oropharyngeal extension (7/26 patients). •       Group C: Patients with mediastinal extension (1/26 patient). Results: Group I: •       4 patients presented  at birth. They  were subjected  to needle aspiration  followed  by urgent surgical excision to alleviate respiratory distress. One ofthem needed another setting. Results were regarded as excellent. •       5th child  presented  with infection  at  age of 2 months  with  rapid enlargement  and respiratory distress. Urgent Surgical drainage was done to alleviate respiratory distress and to control fever. The LM completely disappeared. •       8 patients with isolated cervical LM underwent elective surgical excision, 7 of them had excellent results. The 81h one developed injury to the marginal mandibular nerve. •      The  remaining 5  patients underwent  injection  sclerotherapy  with  98% ethanol  with excellent results. Group II: 7 patients were subjected to injection with 98% ethanol. 5 of them had excellent results and 2 needed surgical intervention to the cervical part for cosmetic purpose. Group III: One patient underwent surgical excision with excellent results. Conclusion: Surgery remains the first option in certain circumstances, however  injection with 98% ethanol is recommended for oropharyngeal extension as surgical excision is very difficult and dangerous.