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Aspiration of a broken tracheostomy tube fragment is a relatively rare complication with the potential to result in serious airway complications. Case reports of tracheal fragment aspiration have been documented infrequently in the past, with the earliest documented case in 1960. What follows is a case report of an 80-year-old male patient whose tracheostomy was replaced a year ago. While at home, the tracheostomy broke and the fragment lodged in his right main bronchus. He was unable to recall when the tracheostomy broke and only presented to the ear, nose and throat clinic for his annual follow-up appointment. The discussion highlights similar reported cases and emphasises some concerns regarding the long-term use of tracheostomies.

A broken fenestrated tracheostomy tube fragment removed from the right main bronchus