(1) Conclusion Once tracheomalacia occurs during operation, treatment plan can be chosen depending on tracheomalacia levels, trachea suspension is the first choice.

(2) Objective To explore diagnosis and countermeasure of tracheomalacia in thyroidectomy.

(3) Results All patients had the history of breathing difficulty before tracheomalacia.

(4) Methods Clinical data of 36 patients with large goiter complicated by tracheomalacia at Xijing Hospital between 1992 and 2004 were retrospectively reviewed.

(5) Subtotal thyroidectomy with tracheal suspension is the treatment of choice for tracheomalacia complicating large goiter.

(6) Methods:Using the self-made external support plates to suspend the tracheomalacia area.