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Professional Technical IVT

FEES

Pronunciation: /fiːz/

Also written as: FEES — Fiberoptic Endoscopic Evaluation of Swallowing

Fiberoptic Endoscopic Evaluation of Swallowing, a procedure using a flexible endoscope to visualize swallowing function.

Full Definition

Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is an instrumental assessment procedure that uses a flexible nasendoscope to directly visualize the pharynx and larynx during swallowing. Unlike videofluoroscopy, FEES provides real-time visualization of anatomical structures, secretion management, and swallowing function without radiation exposure. The procedure can be performed at bedside and allows for assessment of sensory function through sensory testing protocols. FEES is particularly valuable for identifying aspiration, laryngeal penetration, and pharyngeal residue, making it an essential tool for dysphagia evaluation and treatment planning in various healthcare settings.

Usage

Usage note: Pronounced as a word ('fees'), not spelled out. Can be performed by SLPs with specialized training.

In Context

  • "FEES revealed significant pooling of secretions and delayed swallow initiation requiring immediate intervention." — Bedside assessment report
  • "The FEES procedure was completed successfully with sensory testing protocols revealing reduced laryngeal sensitivity." — Clinical evaluation summary

Also known as

fiberoptic endoscopic evaluation of swallowing flexible endoscopic evaluation

Don't confuse with

VFSS laryngoscopy upper endoscopy

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