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Fig. 2. —73-year-old man who had previous resection of carcinoma of tongue base and epiglottis. Videofluoroscopy shows moderate impression of pharyngoesophageal segment by 7-mm osteophytes of lower cervical spine (short arrows). However, aspiration (long arrow) is caused by incomplete tilting of thickened epiglottis and deficient laryngeal closure postoperatively (curved arrow).

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