Patient P., 42 years old, was admitted to the ENT department of the regional hospital on the 4th day of the disease with severe pain and dysphagia, hyperthermia, and inspiratory dyspnea. Given the data of laryngoscopy and laryngoscopy, examination and palpation of the neck, lateral radiography according to Zemtsov and contrast radiography of the esophagus, the diagnosis was made: a complicated foreign body of the esophagus. The patient was consulted by a thoracic surgeon. It was decided to remove the foreign body by esophagoscopy under intubation anesthesia, and if ineffective, perform cervical esophagotomy on the left with bone removal and tracheotomy in connection with reactive laryngeal edema. During an esophagoscopy with a Mezrin esophagoscope, tube No. 2 in the area of the 1st narrowing of the esophagus revealed a bone (cervical vertebra of the chicken) of impressive size with numerous spikes and protrusions, which is wedged into the side wall of the larynopharynx and esophagus. After repeated attempts, moving the foreign body in various planes, it was not possible to remove the foreign body due to wedging and the threat of rupture of the esophagus wall. A left-sided cervical esophagotomy was performed with a cut along the front edge of the sternocleidomastoid muscle. During the operation, the esophagus between the trachea and the cervicothoracic spine is exposed. The wall of the esophagus is palpated, attempts were made to manually displace the bone in the throat. In this case, the foreign body is fixed with forceps and at the same time conducting traction with additional pushing from the side of the wound, the foreign body is removed together with the tube of the esophagoscope. The need for esophagotomy has disappeared. Subsequently, a tracheotomy was performed. A nasogastric tube for probe feeding was delivered. The postoperative period without complications. Tracheotomy tube removed on day 4, nasogastric tube after 7 days. As a result of the treatment, the patient was discharged home on day 10 with recovery. The clinical case indicates that the diagnosis and treatment of foreign bodies of the esophagus is a complex problem of otolaryngology and complex manipulations and surgical interventions are used to remove the latter.