Fiberoptic Endoscopic Evaluation of Swallowing Across the Age Spectrum

Purpose: Fiberoptic endoscopic evaluation of swallowing (FEES) is a widely used instrumental procedure used to assess swallowing function in persons of all ages, from infants to older adults. In this article, the history of FEES in adults, the protocol, the scoring system, and the interpretation of...

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Bibliographic Details
Published in:American journal of speech-language pathology 2020-07, Vol.29 (2S), p.967-978
Main Authors: Miller, Claire Kane, Schroeder, James W, Langmore, Susan
Format: Article
Language:English
Subjects:
Adults
Age groups
Aging (Individuals)
Analysis
Aspiration
Deglutition disorders
Dysphagia
Endoscopy
Fiber optic equipment
Food
Health aspects
Infants
Legal fees
Measurement Techniques
Older people
Patients
Pediatrics
Scoring
Screening Tests
Swallowing
Visualization
Water
Young Children
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Summary:Purpose: Fiberoptic endoscopic evaluation of swallowing (FEES) is a widely used instrumental procedure used to assess swallowing function in persons of all ages, from infants to older adults. In this article, the history of FEES in adults, the protocol, the scoring system, and the interpretation of abnormal findings are summarized. The use of FEES to guide treatment in adults is also covered briefly. Following this review in adults, the use of FEES in infants and children is presented, including the anatomicalphysiological assessment and the assessment of swallowing of food and liquid. Interpretation of findings and therapeutic applications are discussed. Conclusion: FEES is a valuable part of the clinical protocol for evaluation and management of dysphagia across the life span. It provides a mechanism for in-depth analysis of swallowing structures and function during intake of liquid and food boluses. Future developments include standardized training content to ensure clinical competency and the development of standardized examination and interpretation protocols.
ISSN:1058-0360
1558-9110
DOI:10.1044/2019_AJSLP-19-00072