The Convergence of Crisis: A Rare Case of Traumatic Laryngeal Fracture Accompanied by Bilateral Pneumothorax and Pneumomediastinum

emphasizes the significance of prompt diagnosis by emergency room physicians, the need for emergency front neck access, and IntroductIonTraumatic laryngeal fractures are rare, occurring in approximately 1 out of every 30,000 patients treated at tertiary care trauma centers. 1 The predominant cause of traumatic pneumomediastinum is the "Macklin effect," where alveolar rupture occurs due to primary lung trauma, positive pressure ventilation, or both. 2 In a minority of cases (up to 10%), traumatic pneumomediastinum arises from tracheobronchial ruptures or esophageal tears. 2 Despite their rarity, laryngeal fractures can pose significant dangers, typically stemming from severe blunt trauma such as road traffic accidents, assaults, or sports mishaps.These injuries may evade immediate detection due to their infrequency and clinicians' limited exposure to such cases.Reports indicate a mortality rate as high as 80% in prehospitalization scenarios. 3However, once a secure airway is established and the laryngeal injury is correctly identified, mortality drops to <5%. 4 Clinicians evaluating trauma patients, especially those with blunt neck trauma, typically maintain a heightened suspicion for potential laryngeal trauma and other significant injuries, including pneumothorax, pneumomediastinum, esophageal injury, and spine injury.Extended focused assessment with sonography for trauma (e-FAST) should be done in all trauma cases to prevent missing other life-threatening injuries.In our case, we were able to detect bilateral pneumothorax with pneumomediastinum, and timely bilateral intercostal drainages (ICDs) were inserted.Laryngeal injuries encompass a range of severity, from minor endolaryngeal edema/ hematoma to complete laryngotracheal separation.This report