Fiberoptic Endoscopic Evaluation of Swallowing (FEES)

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Abstract

The Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is an instrumental assessment of deglutitive function that utilizes a flexible laryngoscope to view pharyngeal and laryngeal structures during swallowing. In this assessment the laryngoscope is placed transnasally and advanced to the pharynx to view structural movements, bolus transit and airway protection. The chapter elucidates the utility and practical application of laryngoscopy to assess swallowing function for the practicing clinician. The chapter includes a description of the procedure and guides the reader in the integration of visual findings that are revealed via the laryngoscope to better identify disordered physiology and further patient management.