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FEESSTEndoscopic Evaluation of Swallowing with Sensory Testing
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FEESST: Flexible Endoscopic Evaluation of Swallowing With Sensory Testing describes an innovative new team approach to assessment and treatment of swallowing disorders that involves the laryngologist, gastroenterologist, pulmonologist, and speech pathologist.
(2) FEES can be combined with sensory testing (FEESST) to obtain further information regarding the status of laryngeal sensation.
In addition to the standard FEES equipment, FEESST requires two additional items: a calibrated air-pulse sensory stimulator and a flexible endoscope with a side channel for the delivery of the air pulse (both items: Pentax Precision Instrument Corp.; Orangeburg, N.Y.) (figure 4, A).
(6-9) Finally, in a large prospective study, Aviv compared the ability of FEESST and VFSS to prevent aspiration pneumonia in patients with dysphagia.
These studies have demonstrated the importance and comparative value of FEES and FEESST. We believe that as more otolaryngologists become familiar with FEES and FEESST, these procedures will become an indispensable part of the office-based assessment of dysphagia.
The two techniques are videofluoroscopy via modified barium swallow (MBS) and videoendoscopy via flexible endoscopic evaluation of swallowing with sensory testing (FEESST).
The type of endoscopy used in that study was flexible endoscopic evaluation of swallowing with sensory testing (FEESST).
The decision to administer either MBS or FEESST had been randomly determined to depend on which day of the week the dysphagia consult request was called in to the Department of Otolaryngology--Head and Neck Surgery.