Foreign Body Migration from Subglottis to Bronchus in a Tracheostomised Child: A Case Report

Foreign body (FB) aspiration is a critical paediatric emergency, often requiringtimely diagnosis and intervention to prevent complications. We report the case ofa three-year-old female presenting with persistent cough and breathing difficulty,initially managed as croup. Imaging revealed a subglottic FB, necessitatingtracheostomy for airway stabilization. During the first rigid bronchoscopy attempt,the FB migrated into the left main bronchus, likely due to manipulation and theuse of an uncuffed tracheostomy tube. A second bronchoscopy successfullyremoved the FB, a 2.5*2 cm bone chip, using telescope-mounted forceps. Thiscase highlights the rare phenomenon of FB migration during intervention andemphasizes the importance of tracheostomy in maintaining airway. Awareness ofmigration risks and tailored interventions are critical for successful outcomes.