Neck wounds are quite common ENT emergencies. Proper clinical evaluation and management is vital, as they can be life-threatening. The reason for this is that the neck is a region of the body which contains many vital structures, such as major blood vessels, nerves, muscles, the larynx, the trachea, and the esophagus. Neck traumas can be blunt including strangulation, penetrating, or both blunt and penetrating. The neck is divided into three anatomical zones, and this division has anatomic, diagnostic, and management purposes. Zone I is the area between the clavicles and cricoid cartilage, Zone II between the cricoid cartilage and the angle of the mandible, and Zone III between the angle of the mandible and the skull base. Vascular injuries are the most common in cases of penetrating neck wounds. In cases of carotid artery and internal jugular vein rupture, or airway injury, time is critical, and we should act immediately. In cases of non-life-threatening injuries, we should perform a detailed clinical and neurological examination, combined with a detailed history of the trauma, and imaging studies (neck CT scan, CT angiography, conventional angiography, ultrasound, and esophagography), before any surgical intervention.