Swallowing Disorders after Oral Cavity and Pharyngolaryngeal Surgery and Role of Imaging

Figure 2

Lateral fluoroscopic view of a 74-year-old man who has undergone a previous laryngectomy and subsequent resection of the left posterior tongue and left tonsillar region. The patient has poor oral bolus control and early loss into the neopharynx ((a), white arrows). Black arrows show a narrowing in the neopharynx with dysfunction of reconstructed cricopharyngeal junction and residue throughout the neopharynx. (b) Palatopharyngeal valve dysfunction and reflux of contrast (white arrows) between the soft palate and the posterior pharyngeal wall.

(a)

(b)