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Please view the barium esophagram (Fig 1) and watch the accompanying video clip (Video 1) showing the results of a flexible endoscopic evaluation of swallow (FEES) in a newborn.
Barium esophagram lateral view (anterior to the left).
Click here to view the video. The Results of a Flexible Endoscopic Evaluation of Swallow (FEES) in a Newborn.
The most likely diagnosis of the neonate in this video is a(n):
A. Laryngeal cleft
B. Tracheoesophageal fistula
C. Uncoordinated feed-suck-swallow reflex
D. Normal study
The female neonate depicted in Video 1 was born at term via vaginal delivery at 40 weeks and 2 days’ estimated gestational age. The delivery was uncomplicated, and the neonate’s Apgar scores were 8 and 9 at 1 and 4 minutes, respectively. She had a blue spell with oral feeding on the first day after birth and was transferred to the NICU for further observation. Subsequently, the neonate had several episodes, after oral feeding, of oxygen desaturations to the 50s associated with coughing with quick, spontaneous recovery. Currently she has a normal cry and no …
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