Foreign body aspiration to airways occurs in children under the age of 15 and the maximum incidence is in the 1-3 age range. Using general anesthesia or sedation would enable us to remove the foreign body in the operation room. Here is a case report of a 4-year-old child in whom a retained broken suture needle was found by radiography in the parapharyngeal area after tonsillectomy and adenoeedectomy. Using general anesthesia, the needle was removed under fluoroscopy after 4.5 hours.