Tracheal-bronchial injuries require immediate airway control and surgical repair. Cervical trachea injury can include vascular, thyroid, esophageal, and nerve injuries, so exploration is important. Respiratory distress occurs in more than half of these patients. A 27-year-old patient with known psychiatric illness was brought to the emergency department with a tracheal injury. The physical examination revealed dyspnea. There were doubts about the incision line. The airway was observed. The patient was intubated with a number 7 endotracheal tube and underwent emergency surgery. During exploration of the thyroid cartilage, a 2-cm perforation in the trachea was observed and sutured. An air leakage check was performed and the operation was completed.