When is FEES particularly indicated for a patient?

Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is particularly indicated for patients who are unable to participate in a modified barium swallow study. This is because FEES provides a direct visualization of the swallowing process via an endoscope, allowing clinicians to assess swallowing safely and effectively in patients who may have difficulty with traditional radiographic swallow studies due to discomfort, mobility issues, or cognitive impairments.

In cases where patients cannot travel for assessments or participate in other studies, such as those with severe dysphagia, respiratory issues, or anatomical constraints, FEES becomes a vital tool. It allows for an examination of the oropharyngeal phase of swallowing in a way that does not require the same positioning or swallowing of contrast agents as required in a modified barium swallow study. Thus, its application is crucial for a safe and effective evaluation of swallow function in these patients.