Blunt laryngeal trauma is a rare, potentially life-threatening event. A man suffered total pharyngosupraglottic
separation following accidental strangling, when a long cloth hanging around his neck was
tracked into a threshing machine. Difficulty maintaining the airway was the primary challenge since the
laryngotracheal complex had collapsed into the mediastinum. The authors palpated the thyroid cartilage just
above the sternal notch but could not identify the tracheal ring for tracheotomy. Injuries to the laryngotracheal
complex are severe if there is such a complete separation. Early diagnosis and proper management reduce
morbidity and mortality. The successful management of such a case is presented.

Keywords: Wounds and injuries, Larynx, Neck injuries, Trachea, Wounds, Nonpenetrating