Unusual case of congenital fistula between External Auditory Canal & Nasopharynx

Branchial cleft anomalies are the end result of defects in the development in the neck area of the embryo. Various first branchial cleft anomalies are described in literature including preauricular sinuses, cysts and collaural fistula. Here we are reporting a very unusual case of fistula between floor of external auditory canal and nasopharynx.