Evaluation and Treatment of Dysphagia

Fiberoptic endoscopic evaluation of swallowing, or FEES, is a procedure used to assess swallowing function. A trained speech pathologist inserts a thin tube or endoscope, through the patient’s nasal cavity until it reaches the upper throat. The patient then consumes different consistencies of food and liquids, all colored with green food coloring for contrast, to evaluate swallowing function.

If FEES indicates that swallowing therapy with a speech pathologist is needed, treatment may involve:

  • Texture modifications of food and liquid to ensure safe swallowing
  • Strategies to compensate for ineffective swallowing during food and liquid intake
  • Exercises to improve pharyngeal and laryngeal (throat) range-of-motion
  • Oral-motor exercises to improve lip and tongue strength and range-of-motion

Fiberoptic endoscopic evaluation of swallowing, or FEES, is a procedure used to asses swallowing function. A trained speech pathologist inserts a thin tube or endoscope, through the patient’s nasal cavity until it reaches the upper throat. The patient then consumes different consistencies of food and liquids, all colored with green food coloring for contrast, to evaluate swallowing function.

Who is a candidate for FEES?

Patients who report difficulty or pain when swallowing food, liquids, and/or medications, or those who suffer from frequent coughing during meals may benefit from a swallowing evaluation.