In the head and neck region, tracheal and larynx paragangliomas are much less common and subglottic paragangliomas have been rarely reported. Less than 60 cases with larynx paraganglioma and a few cases with trachea paraganglioma have been reported until know in the literature. This report describes a 28 year old man suffering from progressive dyspnea due to tracheal and subglottal tumor. Histopathology of tumor after surgery showed paraganglioma. Clinical features, histological appearance and differential diagnosis as well as treatment are discussed.