Fiberoptic Endoscopic Evaluation of Swallowing

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"The benefits compared to videofluoroscopic swallow study (VFSS), which uses x-ray, are that it is well tolerated, allows in-office examination, avoids radiation exposure, can be repeated safely, accommodates more people (e.g., obesity, wheelchair bound), has less wait time, and is less expensive. FEES demonstrates a sensitivity equal to or greater than VFSS in determining whether a patient is exhibiting penetration, aspiration, delay in swallowing initiation and pharyngeal residue. Stroboscopy uses a rigid or flexible scope inserted into the mouth or nose to view the vocal cords. When a strobe light is used, it allows us to see how the vocal cords move in slower motion. This greatly improves the ability to diagnose voice disorders accurately and comprehensively versus using a scope with no strobe lighting. Therapy can start right away, as the report is completed in-house and our SLP is present."

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