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.