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. 2019 Feb 14;34(6):852–861. doi: 10.1007/s00455-019-09979-8

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© The Author(s) 2019

OpenAccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Fig. 1 — Simultaneous evaluation of FEES (left) and VFSS (right; arrow indicating endoscope). In this patient, the epiglottis (short arrow) is not tilting during swallowing 5 ml of nectar consistency and has direct contact to the dorsal pharyngeal wall (asterisks), making a direct endoscopic view into the laryngeal vestibule impossible and resulting in a missing diagnosis of intradeglutitive penetration as seen during VFSS (arrowhead)