FEES stands for Fiberoptic Endoscopic Evaluation of Swallowing. It is when we place an endoscope and pass it through the nose, and position it just right up above the laryngeal vestibule. We are looking primarily at the pharynx. It allows us to visualize how a patient manages secretions. One of the nice things is that we get to use real food and it is an untimed test. Keeping in mind the idea that swallowing and eating a meal is an endurance task, you could put the FEES scope in place and watch a patient eat an entire meal. Certainly we could not do that with MBS.
Kim Winter, MA CCC-SLP, has been employed as a speech-language pathologist since 1996, working exclusively with adult neurogenic populations. Her areas of expertise include dysphagia, aphasia, AAC and management of speech and swallowing disorders associated with neuromuscular diseases.
Kim Winter, M.A., CCC-SLP
Kim Winter, MA CCC-SLP, has been employed as a speech-language pathologist since 1996, working exclusively with adult neurogenic populations. Her areas of expertise include dysphagia, aphasia, AAC and management of speech and swallowing disorders associated with neuromuscular diseases. Kim has been a guest lecturer at the University of Connecticut’s dysphagia classes, and was a co-presenter at the 2011 ASHA National Convention – “Assessment and Management of Swallowing in Patients with ALS”. In 2013, she presented a course entitled, “Topics, Issues and Controversies in Dysphagia Management” at the Connecticut Speech-Language Hearing Association’s Spring Conference. Kim is a member of ASHA’s Special Interest Group: Swallowing and Swallowing Disorders, and was a recent recipient of an ASHA ACE Award for Continuing Education.
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