Inhalation of a foreign body is a serious event. The number of foreign
bodies that become impacted in the larynx is small and requires urgen
t recognition. We describe the case of a six-month-old baby with an im
pacted open safety pin in the larynx. The sharp end of the safely pin
was upwards and had penetrated the anterior end of the left vocal fold
. We discuss the management and describe our method of removal of the
foreign body. Tracheostomy was not required in this case and the child
had an uneventful recovery. A brief review of the literature is inclu
ded.