Branchial cleft remnants are diagnosed frequently in both children and adults . .

Approximately 30% of pediatric neck masses are due to branchial arch anomalies. The branchial cleft remnants can be sub divided in to cysts, sinuses, fistulas. Depending on branchial arch origin these anomalies can be manifested as a mass or raining tract anywhere from pre auricular region to supra clavicular fossa in anterior neck and medial to SCM. Incomplete closure of branchial pouches or failure of obliteration of branchial grooves explain these anomalies. Second arch anomalies tract usually pass through carotid bifurcation .Third and fourth arch tracts pass through thyroid gland and very close to RLN. They pose a formidable challenge to surgeon.We are presenting three cases of brancial sinus fistulae operated in our institute .