its adjacent structures can cause tracheal damage such as ulceration of the mucosa, tracheal stenosis, tracheoesophageal fistula, tracheomalacia and neck abscess. We describe a case of upper tracheal necrosis as a complication of total thyroidectomy in a hyperthyroid patient, highlighting some of the difficulties presented by a thyrotoxic goitre, which, to our knowledge has not been reported be...