The Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is a critical diagnostic tool used to examine swallowing function and manage swallowing disorders, known as dysphagia. This procedure is vital for a broad range of patients-from newborns to the elderly-and is indispensable for healthcare providers and therapists involved in swallowing management
Pediatric Patients: We provide gentle and safe assessments that are crucial for detecting early swallowing issues in newborns, infants, and children, ensuring they receive the care needed for healthy development.
Adults and Geriatrics: For adults and older patients, FEES helps in diagnosing and managing swallowing disorders that may result from aging, medical conditions, or after surgery, enhancing comfort and quality of life.
Family Members and Caregivers: We understand the importance of involving family in the care process.
Post-assessment, we offer detailed explanations and training on managing dietary needs and preventing complications at home.
Expert Care:
“Enhancing muscle coordination for clearer speech and safer swallowing.”
Comfort and Preparation:
We prioritize patient comfort by using mild anesthesia and preparing patients appropriately to ensure the procedure is as comfortable as possible.
Detailed Observations:
During the procedure, we use safe, non-invasive techniques to observe the swallowing process in real-time, enabling us to identify any issues with precision.
Customized Treatment Plans:
Based on our findings, we recommend tailored therapeutic interventions. These may
include exercises or strategies specifically designed to improve swallowing safety and efficiency
Embark on a transformative journey towards holistic well-being with our comprehensive therapy methodology.
Begin by contacting us to schedule a screening or evaluation. Our friendly team will guide you through the process, ensuring your questions are answered and your needs are met.
Our initial assessment thoroughly examines communication skills to tailor a specific plan of care.
We design a personalized treatment plan that targets individual challenges and goals, ensuring each client receives the most effective therapy.
Therapy sessions are supplemented with weekly homework assignments to reinforce skills learned during sessions and to encourage continuous improvement.
Begin by contacting us to schedule a screening or evaluation. Our friendly team will guide you through the process, ensuring your questions are answered and your needs are met.
Therapy sessions are supplemented with weekly homework assignments to reinforce skills learned during sessions and to encourage continuous improvement.
Contact us to schedule your initial evaluation and discover how our physical therapy services can enhance your life or that of someone you care for. Our team is ready to assist you in achieving your health and mobility goals with compassion, expertise, and personalized attention
Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is a procedure used by speech-language pathologists (SLPs) to assess swallowing function. During FEES, a flexible endoscope is passed through the nose and positioned above the larynx to provide a clear view of the pharynx, larynx, and upper esophagus while the patient swallows.
FEES is performed to evaluate swallowing function, identify swallowing difficulties (dysphagia), and determine the cause of swallowing problems. It allows clinicians to directly observe the swallowing process, assess the coordination of the swallowing muscles, and identify any structural abnormalities or signs of aspiration (food or liquid entering the airway).
FEES may be beneficial for individuals who have difficulty swallowing (dysphagia) or are at risk of aspiration due to conditions such as stroke, neurological disorders (e.g., Parkinson's disease, multiple sclerosis), head and neck cancer, traumatic brain injury, or other medical conditions affecting swallowing function.
During the FEES procedure, a thin, flexible endoscope is inserted through the patient's nostril and advanced into the throat. The endoscope allows the clinician to visualize the structures involved in swallowing while the patient swallows various food and liquid consistencies. The procedure is typically performed in an outpatient setting and takes approximately 15 to 30 minutes to complete.
Most patients tolerate FEES well and experience minimal discomfort during the procedure. Some individuals may experience temporary discomfort or a gag reflex when the endoscope is inserted through the nose, but this usually subsides quickly. Local anesthesia or numbing spray may be used to minimize discomfort during the procedure.
FEES provides real-time visualization of the swallowing process, allowing clinicians to assess the movement of the swallowing muscles, the closure of the airway during swallowing, and the presence of any signs of aspiration (food or liquid entering the airway). It can help identify specific swallowing difficulties, such as difficulty with oral control, delayed swallow response, or impaired laryngeal function.
The findings from the FEES procedure guide the development of individualized treatment plans for managing swallowing difficulties. Based on the assessment results, the clinician may recommend specific swallowing exercises, dietary modifications, compensatory strategies, or other interventions to improve swallowing safety and efficiency.
FEES is considered a safe procedure with minimal risks. Potential risks include minor discomfort during the procedure, transient nasal irritation, or nosebleeds. Serious complications are rare but may include nasal mucosal injury, epistaxis (nosebleed), or bronchospasm (temporary narrowing of the airways).
FEES procedures are typically performed by speech-language pathologists or who have specialized training in swallowing disorders. If you or a loved one are experiencing swallowing difficulties and may benefit from a FEES evaluation, you can schedule an appointment with a qualified healthcare provider who offers FEES services. They can assess your swallowing function and determine if FEES is appropriate for you.
