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VF examination was carried out 21 times in 17 patients with swallowing difficulties and suspicion of aspiration pneumonia. Abnormal findings in videofluoroscopy were observed in five patients. In three of these patients swallowing function was restored after rehabilitation according to the results of VF examination. On the other hand, three patients developed aspiration pneumonia after oral ingestion although abnormal findings were not obtained in the VF examination carried out in the early stage after surgery. No complication associated with VF examination was noted in any patients. 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