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Buckled thyroid cartilage is a rare, but documented structural anomaly that has been found in patients who suffer from dysphonia. Outside of a known trauma, the origin of the anomaly is unknown. We present a case study of a patient who suffered from significant cartilage buckling, and associated hoarseness. While there is a single case of surgical correction documented, we present a description of a surgical approach with detailed photo documentation. With promising outcomes, this case report highlights a novel and effective approach to addressing dysphonia in the setting of buckled thyroid cartilage. Laryngoscope, 135:833-835, 2025., (© 2024 The Author(s). The Laryngoscope published by Wiley Periodicals LLC on behalf of The American Laryngological, Rhinological and Otological Society, Inc.)