Introduction: ENT foreign body (FB) account for around 11% of emergencies. Swallowed FB especially fish, mutton bone or chicken bone are commonly seen in adult and elderly while coin in children. In adult, etiology may be considered due to gluttony, poor mastication or age related neuromuscular, decrease in oral tactile sensation. A traumatic FB of neck passed through the esophageal lumen and lodged into intramuscular plane of neck. Radiological investigations helps in localizing migrated FB from lumen. Neck dissection for extraluminal FB removal is the one of the surgical management. Aim of study: To present extraluminal FB and its management. Case Report: We had a case of a 60 year old female with complaints of 3 weeks continuous throat pricking sensation. She was treated like gastro-esophageal reflux disease (GERD) but was not getting relief, hence along with radiological investigations we have found a radiopaque extraluminal FB in the right trachea-esophageal groove. FB removal was done without any complications.