About FEES
About FEES
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FEES Fiberoptic Endoscopic Evaluation of Swallowing
First publication Langmore, Schatz, and Olson, Dysphagia, 1988.
In the scope of practice of speech language pathologists: 1991
billable CPT code since 1994 (#91612)
Food and liquid with food dye for better visualization. Barium used with liquids for best sensitivity if aspiration is in question.
Typical set up for doing an outpatient FEES exam. Patient faces monitor and feeds herself to get constant visual biofeedback while eating and swallowing.
Comparison of the views obtained with fluoroscopy (left) and endoscopy (right).
Typical set up for an inpatient examination. Patient is fed in bed by someone else; this will be replicated in the exam. Monitor is in view of patient and examiner.
On the left, residue of applesauce dyed green is seen in both pyriform sinuses, lateral channels, and in the laryngeal vestibule.