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Arch Otolaryngol Head Neck Surg. 1999;125:812-815.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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.

Figure 1.

Flexible endoscopy, with the patient under local anesthesia, showed mobile focal folds, but even in maximal adduction a clear view of the subglottic area and the trachea was obtained posteriorly. Also, a laryngotracheobronchoesophagoscopy, with the patient under general anesthesia, showed an abnormality of the larynx (Figure 2. . . [Full Text of this Article]

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