4 Conclusion
In retrospect, a single stage procedure as well as a more aggressive post-operative follow up course may have prevented this complication. Risks of performing a hemithyroidectomy in place of a complete thyroidectomy during initial procedure were discussed with patient who elected to assume these risks. However, the need for a second procedure may have led to the formation of tracheal necrosis. Patient reported noticing seepage from her incision for 1-2 days prior to follow up appointment wherein she had 14cc of fluid aspirated from the seroma, had she followed up sooner there may have been less pressure induced compromised blood supply to the tracheal wall.