Cervical hibernoma is a rare, benign lipogenic tumor. Surgical removal of cervical hibernoma is needed when it causes symptoms such as dyspnea or dysphagia due to its mass effect, or when malignancy cannot be excluded. During surgery, en bloc resection is crucial to prevent hemorrhage and recurrence.

This case is a challenging case review of a successful removal of sharp and deep located airway foreign body using ventilating bronchoscopy.