Figure 1. Fiberoptic Endoscopic Evaluation of Swallowing. Structural assessment demonstrating (A) spherical bulging of the posterior wall of the oropharynx, extending anteriorly towards the soft palate and base of the tongue and narrowing the aerodigestive pathway. Functional evaluation with solid consistency showing (B) nasal reflux of food and (C) ineffective clearance with food residue on the lesion after 3 swallows.