Objectives: 1) to describe a rare case of complete laryngotracheal separation (LTS) after attempted suicide by hanging. 2) To discuss the diagnosis and management of complete laryngotracheal separation.Methods: A detailed chart review of the patient's medical and surgical management was performed.Results: Successful treatment of complete laryngotracheal separation with primary anastamosis was accomplished. Complications including subglottic stenosis and bilateral vocal cord immobility were managed and stable long term outcomes achieved. Conclusion:Trauma to the larynx occurs in varying degrees of severity, the highest of which results in complete laryngotracheal separation. Laryngotracheal separation often presents with non-specific symptoms in the setting of an acute trauma to the neck, which can lead to a delayed or missed diagnosis.

Resident participation in hemithyroidectomy may be associated with increased operative duration, higher incidence of wound complications, and readmission. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1212-1217, 2017.