Bilateral Branchial Cleft Sinuses/Fistulae in a 20-Year-Old-Male

Branchial cleft anomalies are uncommon in adults but common in children.Bilateral presentations are very rare especially bilateral cleft fistulae and sinuses simultaneously and mostly are a component of familial syndromes like branchio-oto-renal syndrome (BORS).We present a case of a 20-year male with no known comorbids complaining of painful swelling on the right side of neck along with draining fistula on the left side of neck.After a thorough history, neck examination, CT and x-ray fistulography, a final diagnosis of bilateral second branchial cleft fistulae and sinuses was made.The patient was put on operative list and after completing the preoperative workup, the surgical excision by step-ladder approach was done.Patient was discharged on 4 th postoperative day after counselling him about the wound care.He was called for a follow-up after 7 days.On follow-up, the wound had started healing.