Related Experiment Video

Updated: Apr 3, 2026

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
08:32

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models

Published on: March 1, 2015

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Fiberoptic examination of swallowing in the breastfeeding infant

Susan Willette1, Laura Hinkes Molinaro1, Dana M Thompson2,3

  • 1Department of Speech Pathology, Ann & Robert H. Lurie Children's Hospital of Chicago.

The Laryngoscope
|September 16, 2015
PubMed

Insights

Fiberoptic endoscopic evaluation of swallowing (FEES) is a safe and effective tool for assessing swallowing difficulties in infants. This instrumental exam helps identify dysphagia in breastfeeding infants when other methods are unavailable.

Area of Science:

  • Pediatric Medicine
  • Otolaryngology
  • Gastroenterology

Background:

  • Fiberoptic endoscopic evaluation of swallowing (FEES) is the sole instrumental method for assessing swallowing in breastfeeding infants.
  • Limited data exists on the efficacy and safety of FEES in this specific pediatric population.

Purpose of the Study:

  • To analyze the indications for, findings of, and safety of FEES in breastfeeding infants.
  • To evaluate the utility of FEES in diagnosing dysphagia in infants.

Main Methods:

  • A case series design was employed, reviewing 24 FEES exams on 23 infants (10 months or younger).
  • Data collected included indications for FEES, observed swallowing function, and any procedure-related complications.

Main Results:

  • Common indications included feeding difficulties (52%), noisy breathing (28%), and cyanosis (16%).
  • Dysphagia was prevalent, with laryngeal penetration (83%) and aspiration (50%) noted. Findings included laryngeal edema (29%).
  • No immediate complications or adverse events were associated with the FEES procedure.

Conclusions:

  • FEES is a safe and effective instrumental examination for evaluating swallowing in breastfeeding infants.
  • It provides crucial diagnostic information for dysphagia in infants where no alternative instrumental assessments exist.
Abstract

Keywords:
DysphagiaFEESbreastfeedingfiberoptic endoscopic evaluation of swallowing

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