Branchial anomalies are congenital lesions that occur as a result of incomplete obliteration of the branchial apparatus during foetal development. Due to their complex presentations, they are commonly misdiagnosed and pose a challenge in treatment. This report features a girl, aged 1 year and 2 months, with Goldenhar syndrome with right microtia, presenting with a rare supra-auricular fistulous opening to the external auditory canal, with a communicating tract in the neck.