Introduction. The nature of the fighting in modern military conflicts causes an increase in the number of wounded due to mine-explosive fragmentation injury. Battle wounds to the neck are often combined with damage to the larynx and trachea, which subsequently leads to the formation of cicatricial strictures of the respiratory tract. Surgical intervention is the main method of treating chronic scar stenosis of the larynx and trachea. However, despite the large number of surgical techniques, not all of them are effective. Anatomical features of the larynx and trachea, difficulties in maintaining the formed lumen, in most cases lead to restenosis of the laryngeal tracheal lumen in the postoperative period, which significantly reduces the effectiveness of surgical treatment and worsens the rehabilitation potential of the patient. Purpose. to share the experience of treating a massive laryngotracheal defect caused by a mine explosion injury. Materials and methods. A patient with an extensive defect in the anterior wall of the larynx and trachea applied to the . After a clinical examination, the patient underwent laryngotracheoplasty using alloimplantation material, followed by stenting of the laryngeal and tracheal lumen using a developed silicone stent. Conclusion. The provision of high-tech medical care made it possible to achieve a positive clinical result, reduce the number of stages of surgical treatment, avoid restenosis of the laryngeal tracheal lumen, restore breathing through the natural respiratory tract, the physiological process of swallowing and the patient's voice.