The hyoid bone fracture secondary to trauma other than strangulation is a rare event, regarding the literature. Hereby, we presented a rare and interesting case of hyoid bone fracture associated with comminuted mandibular fracture following falling-down in a 13-year-old girl. The importance of timely diagnosis and proper treatment plan would be discussed, as well. The maxillofacial surgeon should be aware of the possibility of a hyoid bone fracture in patients who have suffered maxillofacial trauma. Potentially fatal respiratory complications can develop rapidly unless proper care is given to such injuries.