The presence of a foreign body in the airway represents an emergency in otorhinolaryngology and may lead to serious or even fatal outcomes. Laryngectomized patients represent a particularly high-risk group, as the absence of the larynx’s protective function allows foreign bodies to accidentally enter the tracheobronchial tree through a permanent tracheostoma. This paper presents a case of a 65-year-old laryngectomized patient in whom a metallic foreign body (tweezers) accidentally entered the trachea during routine tracheostomy care. The patient was asymptomatic and respiratory stable. The diagnosis was confirmed by chest radiography, and the foreign body was successfully removed by instrumental extraction through the tracheostoma. This case highlights the importance of timely diagnosis, appropriate management, and proper education of personnel responsible for tracheostomy care.