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Functional Endoscopic Evaluation of Swallowing (FEES)

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Diagnostic and Interventional Bronchoscopy in Children

Part of the book series: Respiratory Medicine ((RM))

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Abstract

Pediatric swallowing disorder, or dysphagia, affects many children, especially those with clinically complex medical histories. Functional endoscopic evaluation of swallowing is an instrumental evaluation of dysphagia that has been shown to be safe and reliable in infants and children. This chapter will discuss the instrumentation, the technique, and the evaluation, as well as explore some of the more important literature showing evidence to support FEES as a diagnostic examination in pediatric dysphagia.

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References

  1. Bhattacharyya N. The prevalence of pediatric voice and swallowing problems in the United States. Laryngoscope. 2015;125(3):746–50. https://doi.org/10.1002/lary.24931. Epub 2014 Sep 15

    Article  PubMed  Google Scholar 

  2. Arvedson JC. Assessment of pediatric dysphagia and feeding disorders: clinical and instrumental approaches. Dev Disabil Res Rev. 2008;14:118–27.

    Article  Google Scholar 

  3. Svystun O, Johannsen W, Persad R, Turner JM, Majaesic C, El-Hakim H. Dysphagia in healthy children: characteristics and management of a consecutive cohort at a tertiary centre. Int J Pediatr Otorhinolaryngol. 2017;99:54–9. https://doi.org/10.1016/j.ijporl.2017.05.024. Epub 2017 May 30

    Article  PubMed  Google Scholar 

  4. White DR, Giambra BK, Hopkin RJ, Daines CL, Rutter MJ. Aspiration in children with CHARGE syndrome. Int J Pediatr Otorhinolaryngol. 2005;69(9):1205–9.

    Article  Google Scholar 

  5. Jackson A, Maybee J, Moran MK, Wolter-Warmerdam K, Hickey F. Clinical characteristics of dysphagia in children with down syndrome. Dysphagia. 2016;31(5):663–71. https://doi.org/10.1007/s00455-016-9725-7. Epub 2016 Jul 12

    Article  PubMed  Google Scholar 

  6. Eicher PS, McDonald-Mcginn DM, Fox CA, Driscoll DA, Emanuel BS, Zackai EH. Dysphagia in children with a 22q11.2 deletion: unusual pattern found on modified barium swallow. J Pediatr. 2000;137(2):158–64.

    Article  CAS  Google Scholar 

  7. Langmore SE. History of fiberoptic endoscopic evaluation of swallowing for evaluation and management of pharyngeal dysphagia: changes over the years. Dysphagia. 2017;32(1):27–38. https://doi.org/10.1007/s00455-016-9775-x. Epub 2017 Jan 18. Review.

    Article  PubMed  Google Scholar 

  8. Willging JP. Endoscopic evaluation of swallowing in children. Int J Pediatr Otorhinolaryngol. 1995;32(Suppl):S107–8.

    Article  Google Scholar 

  9. Hartnick CJ, Hartley BE, Miller C, Willging JP. Pediatric fiberoptic endoscopic evaluation of swallowing. Ann Otol Rhinol Laryngol. 2000;109(11):996–9.

    Article  CAS  Google Scholar 

  10. Reynolds J, Carroll S, Sturdivant C. Fiberoptic endoscopic evaluation of swallowing: a multidisciplinary alternative for assessment of infants with dysphagia in the neonatal intensive care unit. Adv Neonatal Care. 2016;16(1):37–43. https://doi.org/10.1097/ANC.0000000000000245. Review

    Article  PubMed  Google Scholar 

  11. Suterwala MS, Reynolds J, Carroll S, Sturdivant C, Armstrong ES. Using fiberoptic endoscopic evaluation of swallowing to detect laryngeal penetration and aspiration in infants in the neonatal intensive care unit. J Perinatol. 2017;37(4):404–8. https://doi.org/10.1038/jp.2016.239. Epub 2017 Jan 5

    Article  PubMed  CAS  Google Scholar 

  12. Role of the Speech-Language Pathologist in the Performance and Interpretation of Endoscopic Evaluation of Swallowing: Guidelines. 2004. https://doi.org/10.1044/policy.gl2004-00059

  13. Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, Wood JL. A penetration-aspiration scale. Dysphagia. 1996;11(2):93–8.

    Article  CAS  Google Scholar 

  14. Leder SB, Karas DE. Fiberoptic endoscopic evaluation of swallowing in the pediatric population. Laryngoscope. 2000;110(7):1132–6.

    Article  CAS  Google Scholar 

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Correspondence to Pamela Mudd .

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Mudd, P., Noelke, C. (2021). Functional Endoscopic Evaluation of Swallowing (FEES). In: Goldfarb, S., Piccione, J. (eds) Diagnostic and Interventional Bronchoscopy in Children. Respiratory Medicine. Humana, Cham. https://doi.org/10.1007/978-3-030-54924-4_31

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  • DOI: https://doi.org/10.1007/978-3-030-54924-4_31

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  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-030-54923-7

  • Online ISBN: 978-3-030-54924-4

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