Phoniatricians and otorhinolaryngologists approaching oropharyngeal dysphagia: an update on FEES

A. Schindler*, L.W.J. Baijens, A. Geneid, N. Pizzorni

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

1 Citation (Web of Science)

Abstract

Purpose Oropharyngeal dysphagia (OD) is a common phenomenon in otorhinolaryngology and phoniatrics. As both sub-disciplines have a strong tradition and clinical experience in endoscopic assessment of the upper aerodigestive tract, the implementation of fiberoptic endoscopic evaluation of swallowing (FEES) was an almost self-evident evolution. This review aims to provide an update on FEES and the role of phoniatricians and otorhinolaryngologists using FEES in Europe. Methods A narrative review of the literature was performed by experts in the field of FEES both in the clinical context and in the field of scientific research. Results FEES is the first-choice OD assessment technique for both phoniatricians and otorhinolaryngologists. FEES is becoming increasingly popular because of its usefulness, safety, low costs, wide applicability, and feasibility in different clinical settings. FEES can be performed by health professionals of varying disciplines, once adequate knowledge and skills are acquired. FEES aims to determine OD nature and severity and can provide diagnostic information regarding the underlying etiology. The direct effect of therapeutic interventions can be evaluated using FEES, contributing to design the OD management plan. Standardization of FEES protocols and metrics is still lacking. Technological innovation regarding image resolution, frame rate frequency, endoscopic light source specifications, and endoscopic rotation range has contributed to an increased diagnostic accuracy. Conclusion The rising number of phoniatricians and otorhinolaryngologists performing FEES contributes to the early detection and treatment of OD in an aging European population. Nevertheless, a multidisciplinary approach together with other disciplines is crucial for the success of OD management.
Original languageEnglish
Pages (from-to)2727-2742
Number of pages16
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume279
Issue number6
Early online date15 Nov 2021
DOIs
Publication statusPublished - Jun 2022

Keywords

  • Deglutition
  • Deglutition disorders
  • Fiberoptic endoscopic evaluation of swallowing
  • Phoniatrics
  • Otorhinolaryngology
  • FIBEROPTIC ENDOSCOPIC EVALUATION
  • PENETRATION-ASPIRATION SCALE
  • SWALLOWING DISORDERS
  • PHARYNGEAL SQUEEZE
  • PARKINSONS-DISEASE
  • RISING TIDE
  • IMPACT
  • RELIABILITY
  • RESIDUE
  • FOOD

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