*6.3.1 VFSS*

A VFSS showed a severe swallowing problem. All food consistencies were (silently) aspirated, the epiglottis was rigid, and the laryngeal elevation was limited. This patient started with intensive swallowing rehabilitation since he had had no swallowing exercises before. However, the rehabilitation did not improve the swallowing function enough to increase oral intake or to remove the PRG. In 2017, the patient opted for a lipofilling injection in the base of tongue.
