The History of FEES

The History of FEES

FEES FEES (Flexible Endoscopic Evaluation of Swallowing) is a procedure to assess the swallow.   Currently, a laryngoscope is passed transnasally (through the nose) and into the upper pharynx to observe the swallow and the swallow structures through a camera.    Picture from:  www.mc.vanderbilt.edu First Description FEES was first described in the literature in 1988.   The [...]

(The Actual) August Book Winner

(The Actual) August Book Winner

Congratulations speechpath1977@gmail.com!!   You are the winner of the August copy of The Adult Dysphagia Pocketguide! Please send me your address at dysphagiaramblings@gmail.com. Also, if you subscribe to Dysphagia Ramblings and start getting a million emails about changes.  Please bear with me.   I'm making changes to the site to enhance the experience.  I promise this won't [...]

Modified Barium Swallow Study: Gold Standard or Old News?

Modified Barium Swallow Study:  Gold Standard or Old News?

The Modified Barium Swallow Study, no matter what name is used, has been considered a gold standard for many years in the assessment of dysphagia.   Recently there has been a lot of debate about whether the MBSS continues to be the gold standard or if FEES (Flexible Endoscopic Evaluation of Swallowing) has taken the place [...]

Modified Barium Swallow Study……Part 2

Modified Barium Swallow Study……Part 2

I was recently directed to a blog post by Clinical Colleagues Confidential. regarding Modified Barium Swallow Studies (MBSS).  The title of the blog post is:  I have all the answers but nobody is asking me any questions The original blog post can be found at:  http://cccslp.net/whats-the-frequency-3/  This is part 2, because I recently wrote a [...]

The Instrumental Guide to Compensatory Strategies and Maneuvers

When completing instrumental assessments, the easiest way to change the swallow is to change the diet consistency. Dr. Jeri Logemann (1993) has suggested using compensatory strategies/maneuvers in the following order: Postural techniques Sensory techniques Maneuvers Diet changes Remember we can often change the swallow through sensory techniques.   Steele and Miller 2010 concluded:  "Boluses of liquids [...]

Barium

Barium

So, you know all about MBSS, right?  You've learned the MBSImP, you know all about consistencies, all about compensatory strategies. What barium should you use? We are often mixing the same barium used in other studies with food and liquid brought in from the kitchen. At one point, there was a recipe available to make [...]