The patient had a post-operative tumor tonsillectomy on the right side using TORS and neck dissection on both sides <2013> for cT1 cN2b cN0 G3 tonsillar carcinoma on the right. The patient apparently went to normal ward 300 postoperatively. At 21.15 the nursing staff called the duty doctor and an emergency alarm was sounded. Immediate notification of the 2nd and 3rd service at 9.15 pm and anesthesia at 9.16 pm. Arrival on the ward at 9.15 p.m. and transfer of the patient to the treatment room. The patient is acutely dyspneic with increasing cyanosis. Breathing spontaneously, awake and panicked. Attempt at enoral inspection, no bleeding. The neck is massively swollen on both sides and livid. Immediate opening of the right cervical suture. Clear discharge of venous blood, no possibility of intubation, therefore an emergency coniotomy was performed at approx. 21.16.