When a 26-year-old male with a history of tracheostomy arrived in our emergency department, the case appeared routine—until we uncovered an unusual detail. The patient’s sister had recently changed his tracheostomy tube at home but noticed something concerning afterward: the terminal piece, or the distal end of the tube, was missing. Despite searching, the piece
A missing tracheostomy tube fragment in an asymptomatic 26-year-old originally appeared in KevinMD.com.