Now we are encountering with a growing number of severe head and neck injuries owing to automobile accidents, violence, and industrial injuries etc. In these cases, emergenty tracheostomy and neurosurgical treatment are frequently needed. If cervical trauma were ignored at initial stage, significant complications and sequelae may follow. So it deserves attention that meticulous and thoughtful treatments should be given to the cervical injuries as well as head injuries. We have recently experienced a case of laryngeal stenosis resulted from head and neck trauma. The patient was a 20-year-old male who underwent craniectomy and tracheotomy at other hospital about one and a half years before admission. After multistaged operations, we were able to re-establish an adequate natural air way.