<p>Survival from laryngotracheal separation injuries depends on appropriate airway treatment, these injuries are uncommon but dangerous. consequently, expert opinion and brief case studies have served as the foundation for managerial recommendations. In the present case, the airway was first obtained by awake tracheostomy followed by urgent neck exploration and repair of cricotracheal defect and esophageal laceration under general anaesthesia. at four months after surgery, patient had an occluded tracheostomy with cords in paramedian position, eating a regular diet, and had a decent voice quality. patients can regain a patent airway, a functional voice, and normal swallowing with a high index of suspicion and prompt reconstruction that restores the laryngotracheal framework and mucosal integrity.</p>