Intricate knowledge of the embryology of the branchial cleft system is fundamental for successful management of branchial remnants. Branchial remnants can presents as sinus, cyst or fistula either unilateral or bilateral. There is no predilection for any side (right or left) and gender. The second branchial remnants are the most commonly seen anomaly followed by first, third and fourth. Computed tomography and fistulogram are helpful for anatomical location, relations and to narrow down differential diagnosis. Complete surgical excision is the treatment of choice to prevent recurrences.