Figure 15 The pharynx and esophagus are immediately anterior to C2. Pathologic processes in the C2 vertebral body can require surgical approach through the mouth trans oral approach. The pharynx and esophagus are immediately anterior to C2. Pathologic processes in the C2 vertebral body can require surgical approach through the mouth (transoral approach) or through the tongue (mandiblesplitting approach). Level: Structures: Other Structures: Pathology: Procedure: View: C2 Neural: Brainstem and spinal cord Dura Pharynx and esophagus Normal None Composite (3/4), Front, Lateral, Caudal