Heterotopic islands of salivary-gland tissue are rare and have been de
scribed in a number of sites in the head and neck, We describe a patie
nt with salivary-gland fistulas in the lower third of the neck, withou
t evidence of any other congenital abnormalities. The appearance of si
nuses in association with heterotopic salivary-gland tissue suggests t
hat its embryologic origin may be from the branchial clefts, Surgical
treatment is recommended.