Hyoid bone fracture is seen on physical examination with swelling and pressure pain in the hyoid bone area, and sometimes a bone fracture sound can be palpated. It is mostly seen in various blunt force contusions of the anterior neck, such as boxing injuries, strangulation injuries, car accidents, etc. It can also be due to violent muscle strain injuries. According to the literature, strong swallowing movements and sudden hyperextension and twisting of the neck can result in fracture of the hyoid bone. The clinical presentation is pain in the larynx. Severe stinging sensation in the larynx at the front of the neck, especially when extending the tongue. Difficulty in swallowing. Painful swallowing and dysphagia due to impaired tongue movement or fractured fragments of the hyoid bone piercing into the pharyngeal cavity. Hoarseness and loss of voice. Hoarseness in mild cases and loss of voice in severe cases. Respiratory distress with fracture fragment piercing into the pharynx, blood flowing into the pharynx, hematoma of the tongue root, edema of the pharynx or backward tilting of the tongue root and laryngospasm may occur to varying degrees. The neck is swollen and there is pressure pain in the hyoid bone area, and fracture fragments and friction sounds can be palpated in the early stage. Physical examination shows swelling and pressure pain in the hyoid bone area, and sometimes fracture bone rubbing sound can be palpated. X-ray lateral cervical radiographs show translucent fracture line shadows, interrupted cortical continuity of the hyoid bone and misalignment of the fracture fragments. It has been reported that 1/2 of the fracture lines of the hyoid bone are located at the junction between the greater horn of the hyoid bone and the body of the hyoid bone; the other 1/2 of the fracture lines are located at the greater horn of the hyoid bone. If the fracture is caused by violent muscle contraction, it is a fracture of the tip of the greater horn of the hyoid bone. It is important to note that the greater horn of the hyoid bone is separated from the body of the hyoid bone before the age of 45 and should not be mistaken for a fracture line. In young people, the unfused shadow of the small horn of the hyoid bone and the calcified or ossified shadow of the ligament of the stem hyoid bone or the ligament of the thyroid hyoid bone near the hyoid bone look like fracture fragments and should be distinguished.