Abstract
A 17-year-old male was referred to the maxillofacial department regarding a fractured mandible. Airway compromise was suspected as a result of neck swelling, stridor, haemoptysis and surgical emphysema. Severe laryngeal injuries were diagnosed, including a fractured hyoid. His treatment and outcomes are summarized, with discussion of aetiology, symptoms, diagnosis and treatment of laryngeal injuries, including urgent airway management, if necessary. The risks and complications of delayed diagnosis and treatment are discussed, particularly if symptoms are delayed or the injury is masked by facial fractures. A high index of suspicion and thorough examination are emphasized in all head and neck trauma patients.