Bilateral Branchial Cleft Fistula - Case Report

Introduction-the structure of face and neck develop from branchial arches.defect in development may lead to various branchial arch anomalies which may develop as cyst ,sinus, fistula in early or late childhood. Case report-we are presenting two cases of different age group with bilateral fistula.First case was a male of 18 yrs with no craniofacial deformity.2nd case was a female child 6yrs of age with microtia in right ear. Both operated with stepladder incision under GA. Conclusion-stepladder incision is a appropriate method for fistula excision Recurrence was not seen but scar makes a cosmetic concern.