Abstract

Tracheal injury is a rare complication of thyroid surgery, with a reported incidence of 0.06%. Subcutaneous emphysema or pneumomediastinum may occur due to tracheal perforation, which is manifested by symptoms such as intense cough, neck and facial swelling, dyspnea, hemoptysis, and retrosternal pain. So far, there have been no domestic reports of cervical subcutaneous emphysema or pneumomediastinum caused by tracheal perforation during thyroid surgery. We would like to report a case of a 44-year-old female who experienced complete recovery only with conservative treatments after cervical and mediastinal emphysema due to tracheal perforation during thyroid surgery. (J Clinical Otolaryngol 2021;32:312-316)

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