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when the food descends down the esophagus the epiglottis covers the opening to the airway preventing food from entering. A person will usually cough if food gets caught on the epiglottis to clear the airway again. strokes (or any disorder that could cause paralysis of the neck muscles) may cause paralysis of the muscles of the epiglottis, which would inhibit or interfere with the epiglottis from closing (of which could cause choking).

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