*6.2.5 Long-term results*

However, after 4 years of the last lipofilling this patient experienced more swallowing problems. Her subjective swallowing outcomes deteriorated (see Appendix, **Table 3** for her long-term SWAL-QOL scores) and she decided to have another lipofilling session. Nevertheless, even with that extra lipofilling (17 cc at the left and 17 cc at the right base of tongue) the SWAL-QOL scores increased meaning worse swallowing-related quality of life (see **Table 3** in the Appendix). In addition, the repeated VFSS showed worsening swallowing function (severe dysphagia). Since she was familiar with developing aspiration pneumonias, and weight loss, we decided to place a PRG and stop any oral intake. In **Figure 5**, the long-term MRI scan can be found on the right.
