{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:57:03Z","timestamp":1777694223504,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,6,14]],"date-time":"2025-06-14T00:00:00Z","timestamp":1749859200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,14]],"date-time":"2025-06-14T00:00:00Z","timestamp":1749859200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Tracheostomy is a vital airway procedure for critically ill patients with acute respiratory failure. This study presents a rare but serious complication: the fracture and migration of a tracheostomy tube into the tracheobronchial tree, and discusses its management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation:<\/jats:title>\n                    <jats:p>A 43-year-old male, with a tracheostomy tube in place for 8\u2009years following a neck blast injury, presented with a foreign body in his airway. Chest X-ray revealed a fractured metallic tracheostomy tube lodged in the left main bronchus. The tube was successfully removed by rigid bronchoscopy under general anesthesia, and the patient was discharged in good condition with a new tracheostomy tube.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Tracheostomy tubes, typically made of polyvinyl chloride or metal, can fracture due to prolonged use without regular check-ups, or replacement. Patients may present with mild respiratory symptoms or be asymptomatic. Diagnosis is confirmed by X-ray, and removal is performed via rigid bronchoscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Fractured tracheostomy tubes are a rare but potentially fatal complication requiring urgent bronchoscopy. Regular follow-up, proper care, timely tube replacement, and patient education are essential to prevent such occurrences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11795476251346991","type":"journal-article","created":{"date-parts":[[2025,6,14]],"date-time":"2025-06-14T22:49:43Z","timestamp":1749941383000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Fractured Metallic Tracheostomy Tube as an Unusual Foreign Body in The Left Main Bronchus: A Case Report"],"prefix":"10.1177","volume":"18","author":[{"given":"Mohammad","family":"Fityani","sequence":"first","affiliation":[{"name":"Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yazan","family":"Juma","sequence":"additional","affiliation":[{"name":"Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Omari","sequence":"additional","affiliation":[{"name":"Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imad","family":"Tayyem","sequence":"additional","affiliation":[{"name":"Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8010-8551","authenticated-orcid":false,"given":"Raghad","family":"Sweity","sequence":"additional","affiliation":[{"name":"Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maher","family":"Deeb","sequence":"additional","affiliation":[{"name":"St. Joseph Hospital, Jerusalem, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5926-8990","authenticated-orcid":false,"given":"Yousef","family":"Abu Asbeh","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Al-Ahli Hospital, Hebron, Palestine"},{"name":"General Surgery Department, Al-Quds University, Jerusalem, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,14]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215115000158"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(81)90413-7"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(60)90890-4"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-4-234"},{"key":"e_1_3_2_6_2","first-page":"75","article-title":"Fracture and Aspiration of Tracheostomy Tube","volume":"8","author":"Radpay B","year":"2009","unstructured":"Radpay B, Pejhan S, Dabir S, et al. 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Eye Ear Nose Throat Mon. 1972;51(7):257-258.","journal-title":"Eye Ear Nose Throat Mon"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2014.06.011"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-019-01744-5"},{"issue":"12","key":"e_1_3_2_17_2","article-title":"Aspiration of a tracheostomy tube flange","volume":"71","author":"Kumar KS","year":"2004","unstructured":"Kumar KS, Das K, D\u2019Cruz AJ. Aspiration of a tracheostomy tube flange. 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