Foreign body aspirations in children are relatively uncommon occurrenc
es, but they can be a serious events, causing respiratory distress, at
electasis, chronic pulmonary infections, or death. Safety pins are not
commonly aspirated objects and account for less than 3% of all foreig
n bodies found in the tracheobronchial tree. Fewer than 2% of patients
require thoracotomy, and most aspirated materials can be removed by b
ronchoscopy, with low morbidity and mortality. A discussion of airway
foreign bodies follows the presentation of a case of an older child wh
o aspirated a safety pin, which required open thoracostomy for removal
.