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The number of esophageal and pharyngeal perforations occurring in anterior cervical surgeries ranges from 0.25% to 1% and 0.2% to 1.2%, respectively. Symptoms usually appear postoperatively and are attributed to: Local infection, fistula, sepsis, or mediastinitis. Acute postoperative hematoma, although very rare (&lt;1%), is the first complication to rule out due to its life-threatening complications (e.g. acute respiratory failure).

Esophageal, pharyngeal and hemorrhagic complications occurring in anterior cervical surgery: Three illustrative cases