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Abstract Background Tracheostomy is widely used for securing the airway; however, complications do occur. One such rare complication is a fracture of the tracheostomy tube which presents as a foreign body of the tracheobronchial tree. Case presentation We report a case of a 7-year-old child who presented with mild respiratory distress following fracture and migration of non-metallic tracheostomy tube in the airway. Successful removal was done via rigid bronchoscopy under general anaesthesia. Conclusion Careful inspection of the tracheostomy tube before placing and appropriate tracheostomy care is the cornerstone to prevent such rare complications associated with a tracheostomy.