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Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
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[FEES in Infants with Swallowing Disorders - A Feasible Procedure?]

R Böckler1

  • 1Studiengang Logopädie, SRH Fachhochschule für Gesundheit, Gera.

Laryngo- Rhino- Otologie
|December 17, 2015
PubMed

Insights

Fiberoptic endoscopic examination of swallowing (FEES) is feasible for infant swallowing diagnostics in 89% of cases. However, FEES has limitations in definitively diagnosing aspiration when deep diet penetration occurs.

Area of Science:

  • Pediatric Medicine
  • Otolaryngology
  • Gastroenterology

Background:

  • Fiberoptic endoscopic examination of swallowing (FEES) is validated for children but its use in infants requires further clarification.
  • Infant swallowing disorders necessitate reliable diagnostic tools.

Purpose of the Study:

  • To evaluate the feasibility and limitations of FEES in infants.
  • To assess the diagnostic utility of a modified FEES algorithm in a pediatric population.

Main Methods:

  • A prospective study involving 27 infants from a neuropediatric hospital.
  • Modified FEES algorithm applied from November 2011 to March 2015.
  • Utilized the Penetration Aspiration Scale (PAS) for grading.

Main Results:

  • Diagnostic information on swallowing pathology was obtained in 24 out of 27 infants (89%).
  • Silent aspiration (PAS 8) or deep penetration (PAS 5) occurred in 10 infants; overt deep penetration in 3.
  • Direct visualization of the subglottis/trachea was not achieved, limiting aspiration differentiation.

Conclusions:

  • Modified FEES is a feasible diagnostic tool for infant swallowing disorders in approximately 89% of cases.
  • FEES in infants is limited in providing direct evidence of aspiration with deep diet penetration.
  • FEES findings led to changes in feeding management for 7 infants.
Abstract

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