Videofluoroscopic Swallow Study Fiberoptic Endoscopy
A swallowing evaluation by our speech-language pathologists initially involves a comprehensive review of the patient's medical history, including information associated with the swallowing problem. Some patients are able to describe their swallowing problems in great detail, while others may be unaware of the difficulties they are having.
An examination of the oral structures is carried out to determine movement and strength patterns of the muscles utilized for eating and swallowing.
During a clinical swallowing evaluation, the speech-language pathologist assesses the swallowing mechanism through observation and inspection of the oral cavity while the patient chews, manipulates, and swallows a variety of consistencies. This type of assessment can provide information regarding the competency of the oral musculature, the coordination of the swallow, and the presence or absence of liquid or food residue in the oral cavity while eating.
A videofluoroscopic swallow study takes place in the Radiology (X-ray) Department. This type of study is performed jointly by a speech-language pathologist and radiologist. The patient is examined with fluoroscopy (an x-ray or radiographic technique) from different perspectives during the process of swallowing various consistencies.
Various maneuvers and strategies to improve the swallow may be tried during the evaluation. Immediately following the x-ray of the swallowing mechanism, the speech-language pathologist will review the results and discuss recommendations.
This swallowing evaluation includes direct observation of the throat while swallowing by means of a flexible scope inserted through the nose. This type of assessment is called a Fiberoptic Endoscopic Evaluation of Swallowing (FEES), and involves ingestion of various consistencies.