This diagnostic image is a lateral view from a Videofluoroscopic Swallowing Study (VFSS) captured using X-ray radiography. The anatomical focus includes the oral cavity, pharynx, larynx, and cervical spine. A radiopaque tracheostomy tube is visible in the lower neck region. A radiopaque contrast bolus (iohexol) is present in the oral cavity and pharyngeal space. A white arrow highlights a clear aspiration event, showing the contrast bolus deviating from the normal swallowing pathway and entering the laryngeal vestibule and upper airway above the level of the tracheostomy tube. This demonstrates a failure of the normal airway protection mechanisms during deglutition, resulting in aspiration. This clinical image is typical for assessing dysphagia and swallowing biomechanics in patients following acquired brain injury (ABI) to determine the Penetration-Aspiration Scale (PAS) score and the efficacy of interventions like the Passy Muir Valve (PMV).

A multi-panel medical image series documenting mandibular reconstruction for advanced oral squamous cell carcinoma. Panel (a) shows a clinical photograph one week post-surgery, featuring significant perioral edema and a tracheostomy tube with a speaking valve secured by a neck dressing. Panels (b) and (c) provide frontal and lateral views of the patient two months post-operatively, demonstrating favorable aesthetic outcomes, restoration of facial symmetry, and healed surgical scars following partial mandibular resection and fibular free flap reconstruction. Panel (d) displays a 3D CT reconstruction of the head and neck, highlighting the surgical hardware including a contoured titanium reconstruction plate and screws stabilizing the osseous fibular graft to the remaining mandible. The reconstruction integrates 3D model printing technology to restore the mandibular contour and floor of the mouth. The series illustrates the clinical evolution from the immediate post-operative phase to functional recovery in complex maxillofacial reconstructive surgery.

Clinical photograph of a 10-month-old female patient showing a long-term tracheostomy in situ. The infant is depicted in a front-facing view, with a standard pediatric tracheostomy tube secured around the neck using a soft white tie or strap. The tube's flange is visible against the skin, and a blue three-way valve or heat and moisture exchanger (HME) is attached to the tracheal opening. The image illustrates post-acute management of airway obstruction, following complications from lithium battery ingestion and subsequent bilateral vocal cord palsy. The anatomical focus is the anterior neck region where the surgical airway is maintained. The photograph serves to demonstrate clinical follow-up and the use of medical devices for chronic airway management in pediatric patients with vocal cord dysfunction.