Vocal fold polyps are common lesions of the larynx, often presenting with symptoms such as hoarseness and dysphonia, and rarely affect airway ventilation. However, giant polyps are relatively rare and can easily cause airway obstruction, which may be life-threatening. Early surgical intervention is recommended, and immediate tracheotomy should be performed when necessary. In this article, we analyze the case in conjunction with the relevant literature and medical records. This study presents the emergency management of acute laryngeal obstruction caused by a giant polyp of the vocal cord in one case, along with the identification and management of related complications following tracheotomy, aiming to provide a reference for handling acute cases in future clinical practice and to emphasize that clinicians should conduct comprehensive assessments and attach great importance to such conditions.