Nonsyndromic bilateral second branchial cleft fistulae: A case report

Branchial cleft anomalies are rare congenital malformations that result from the abnormal persistence of branchial clefts during embryogenesis and manifest clinically as cysts, sinuses, or fistulae. In greater than 95% cases, originate remnants second cleft. Identification anomalies, particularly fistulae, important these findings may be part a larger syndromic clinical presentation such branchiootorenal syndrome, which necessitates further workup. bilateral in approximately one percent cases; however, fistulae are, for unknown reasons, much rarer. To best our knowledge, there have been less ten cases nonsyndromic, recorded literature. this report, we present CASE 50-year-old woman with recent left-sided pain, drainage, swelling lower one-third her neck. The patient reported history “cysts” neck most adult life, frequently become infected. She denied personal family renal hearing loss. Computed tomography scan intravenous contrast soft tissues revealed tissue tracts beginning region tonsillar fossae extending bilaterally along anterior borders sternocleidomastoid muscle (SCM) down to skin surface near level thyroid gland, consistent