Abstract
AbstractFirst branchial cleft anomalies are rare congenital malformations of the head and neck region. These anomalies account for less than 1% of all branchial anomalies. They are frequently misdiagnosed and hence mismanaged. The lesions are variable in presentation and course, making radiographic imaging techniques such as computed tomographic fistulography and magnetic resonance imaging the best first step in managing such cases. We present a 17‐year‐old Caucasian female who had a first branchial cleft fistula communicating between the right external auditory canal and the angle of the mandible. Surgical exploration revealed a completely subcutaneous tract not involving the parotid gland parenchyma, which makes this case even more significant.
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