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Acute upper airway obstruction secondary to gunshot injury splitting cervical vertebra.

Dear Editor, The management of penetrating neck wound remains controversial. The complicated anatomy of the neck has always made this management challenging. Airway, spinal cord and great vessels are the most important structures to be concerned with. In the presence of cervical spine fracture, airway must be handled with greater care and neck manipulation should be minimised so as to avoid further damage to the injured structures.