Flexible Endoscopic Evaluation of Swallowing (FEES) is a high quality, comprehensive instrumental dysphagia assessment. Rural Routes Therapies uses mobile technology that allows assessments to be conducted at the patient's bedside, in long-term care facilities, or in hospitals. FEES allows us to provide an evidence-based, cost effective, live video, that is a necessity in accurately diagnosing and treating swallowing impairments.

How does FEES work?

During the procedure, the flexible endoscope is passed along the floor of the patient's nasal passage into the hypopharynx. Initially, the patient is guided through a variety of simple tasks so that the larynx, pharynx, and upper esophageal opening can be viewed during dynamic movement. In the next step, we administer liquids of various consistencies and foods of different textures to determine the functioning of the swallowing mechanism with oral intake. Finally, postural changes and behavioral strategies are incorporated to determine their effectiveness in protecting the airway. From there, we are able to determine the safest diet and most effective exercises for treatment.