Foreign body in nasopharynx, although rare, is an emergency condition as it may trickle down into the airway and cause sudden upper airway obstruction. They produce minimal signs and symptoms and thus are difficult to diagnose. Here, we report a case of a metallic ring impacted in the nasopharynx of a 6 year old child which presented with signs and symptoms of sinusitis unresponsive to treatment. X-rays showed a radio-opaque ring in the nasopharynx. Immediate removal of foreign body in the nasopharynx was performed under general anesthesia. In all cases of missing foreign bodies in the aerodigestive system, nasopharyngeal impaction should be kept in mind and imaging done with endoscopic examination.