Flexible Endoscopic Evaluation of Swallow
Endoscope is inserted into the nares and 'hangs' above the epiglottis.
Allows direct assessment of motor and sensory aspects of swallowing.
Visually assesses pharyngeal and laryngeal stages of swallowing.
Provides objective data that is interpreted and implemented in a cohesive treatment plan for those with dysphagia.
Allows observation of pharyngeal muscle movement, epiglottic movement, as well as vocal fold closure to allow management of dysphagia to decrease risk of aspiration pneumonia.
FEES & Language Fundamentals
FEES is a highly skilled service that can only be performed by SLP's who receive proper training.
A service relatively unique to Language Fundamentals in this area.
Language Fundamentals uses its own equipment to complete FEES.
Training was intensive and was completed under direct supervision of SLP's who specialize in FEESST® and in conjunction with Dr. Aviv (who created the sensory aspect of the FEESST®).
Training is completed over 16-20 weeks at Columbia Presbyterian Hospital.
Proficiency and ease of use of the equipment is necessary prior to completing the training.
Allows the test to be completed on-site with no need for transportation to an appointment or a CNA to leave the facility.
FEES vs. MBS
FEES is safe and uses NO radiation as is required by MBS.
FEES can be completed on-site in a natural environment where MBS is performed at a local hospital.
FEES is much more cost effective than MBS.
FEES enables a full view of internal structures used in swallowing whereas MBS utilizes a side-view.
FEES enables the ability to observe the amount of laryngeal penetration, aspiration, pooling, and reflux whereas MBS can only state if it occurred.
FEES can determine reflux, but cannot scan the esophagus as MBS can for suspected esophageal dysphagia.
FEES observes internal swallow structures and relies on SLP to visually inspect oral cavity whereas MBS views oral stage as well.
Candidates for FEES
Those who complain of trouble swallowing liquid, food, or medication.
Those who feel something stuck in their throat or pain upon swallowing.
Those who have difficulty swallowing related to a stroke, Parkinson's Disease, MS, CP, dementia or other neurologic impairment.
Those with a history of reflux.
Those who are NPO and may be able to return to oral feedings.
Those currently on an altered diet who may be able to benefit from an upgrade in their diet consistency.