Bilateral cervical chondrocutaneous branchial remnants in a child: a case report and review of the literature

Bilateral chondrocutaneous branchial remnants (CCBRs) are rare congenital anomalies arising from the branchial apparatus. Given that they may be associated with other congenital anomalies, thorough physical examination and targeted investigations are recommended. Although typically asymptomatic, early intervention is favored for optimal cosmetic results and psychosocial well-being. Definitive management involves complete excision of both the cutaneous lesion and its underlying cartilaginous component. We present the case of a 10-year-old with bilateral neck masses, one of which appeared as a pedunculated skin tag, subsequently diagnosed as bilateral CCBRs. Following laboratory and imaging evaluation that revealed no associated anomalies, the patient underwent successful bilateral simple excision. This case highlights the importance of careful preoperative assessment to rule out potential systemic comorbidities, despite the straightforward nature of surgical treatment.