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An 8-year-old kid was present in our center with a two-year history of hard swallowing, recurrent respiratory tract attacks, hypoxia and seizure additional to aspiration. Esophagography disclosed an indentation for the cricopharangeal muscle tissue (CPM) in the cervical an element of the esophagus. Videofluroscopic swallow studies (VFSS) revealed cricopharyngeal bar at standard of Cphageal dilatation and BTI. HRM is now gold standard diagnostic tool in OPD that provides objective asse