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.