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Radiology Forum
July 1999

Quiz Case 1

Author Affiliations


Arch Otolaryngol Head Neck Surg. 1999;125(7):812. doi:10.1001/archotol.125.7.812

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.

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