Photo 1: Typical set up for an inpatient examination. Patient is fed in bed by a second clinician. Monitor is in view of patient and examiner.

Photo 6. Abnormal Finding: Residue in left piriform, lateral channel, vallecula – severe

Photo 7. Abnormal Finding: Secretions in the laryngeal vestibule and post-cricoid region

Photo 2. Typical set up for doing an outpatient FEES exam. Patient faces monitor and feeds herself to get constant visual biofeedback while eating and swallowing.

Langmore FEES

Photo 4. Anatomy:Home position, viewing the larynx and its surrounding channels.

Photo 5.  Abnormal Finding: Residue of cracker: mild in the vallecula; a string of cracker also visualized

Photo 8. Abnormal Finding: Aspiration of thin liquid

Photo 3: Food and liquid to be used in a FEES exam with food dye for better visualization. Barium or milk is used with liquids for best sensitivity if aspiration is in question.

Photos of FEES Exams and Findings

Fiberoptic Endoscopic Evaluation of Swallowing