R. NICKBRYANMDS. JAMESZINREICHMD
A 9-WEEK-OLD boy presented with severe swallowing problems and recurrent pneumonia. The patient was delivered via a cesarean section after a gestational period of 37 weeks. At birth, he had multiple congenital abnormalities, including microcephaly, bilateral anophthalmia, an atrial and a ventricular septal defect, a clubfoot on the left side, and general hypotonia. Also, his cry was very weak. Because he developed recurrent pneumonias after feeding, he had been fed through a nasogastric tube since birth. His intraoral examination revealed no abnormalities. A videofluoroscopic examination was performed, and the main abnormalities that were found are shown in Figure 1.
Westerveld G, van Nieuwkerk EBJ, Mahieu HF. Quiz Case 1. Arch Otolaryngol Head Neck Surg. 1999;125(7):812. doi:10.1001/archotol.125.7.812