R. NICKBRYANMDS. JAMESZINREICHMD
Videofluoroscopic examination showed massive aspiration at a level just below the arytenoid cartilage (indicated by the arrow in Figure 1). Endoscopic examination revealed a direct communication of the subglottic area and the upper esophageal sphincter area mediodorsally over the entire height of the cricoid plate. Furthermore, no coexisting tracheoesophageal fistulae were found (Figure 2A indicates the endotracheal tube; B, the nasogastric tube; and the asterisk, the bottom of the defect).
Quiz Case 1. Arch Otolaryngol Head Neck Surg. 1999;125(7):814. doi: