2011
DOI: 10.1016/j.ijporl.2011.05.010
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Fiberoptic Endoscopic Evaluation of Swallowing in children: Feeding outcomes related to diagnostic groups and endoscopic findings

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Cited by 43 publications
(26 citation statements)
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“…10 The clinical feeding examination, however, has variable (usually poor) sensitivity (33%-92%) and specificity (46%-65%) in detecting aspiration risk in children when compared to 'gold standard' instrumental tests, such as videofluoroscopic swallow studies (VFSS) and fibreoptic endoscopic evaluation of swallowing (FEES). 10,[12][13][14][15][16][17][18][19] Despite its limitations, the clinical feeding examination is still routinely used in determining aspiration risk, particularly at non-tertiary paediatric healthcare facilities where VFSS and FEES are not readily available. Hence, a technique that enhances the accuracy of the regularly used clinical feeding examination to diagnose aspiration risk in children would benefit healthcare professionals and patients in the wider community.…”
Section: Introductionmentioning
confidence: 99%
“…10 The clinical feeding examination, however, has variable (usually poor) sensitivity (33%-92%) and specificity (46%-65%) in detecting aspiration risk in children when compared to 'gold standard' instrumental tests, such as videofluoroscopic swallow studies (VFSS) and fibreoptic endoscopic evaluation of swallowing (FEES). 10,[12][13][14][15][16][17][18][19] Despite its limitations, the clinical feeding examination is still routinely used in determining aspiration risk, particularly at non-tertiary paediatric healthcare facilities where VFSS and FEES are not readily available. Hence, a technique that enhances the accuracy of the regularly used clinical feeding examination to diagnose aspiration risk in children would benefit healthcare professionals and patients in the wider community.…”
Section: Introductionmentioning
confidence: 99%
“…In adults and children such dysphagia are usually investigated using Videofluroscopic Swallow Study (VFSS), or the Fiberoptic Endoscopic Evaluation of Swallowing (FEES). FEES has been proved in several studies to be of equivalent diagnostic value as VFSS . FEES uses transnasal flexible fiberoptic laryngoscopy to view the pharynx and larynx during swallowing without interfering in the physiology of respiration.…”
Section: Introductionmentioning
confidence: 99%
“…FEES has been successfully used for many years in the pediatric population and is considered safe and reliable for children . However, the pediatric studies on FEES only include a small number of infants less than 10 months old . No study has been done on a large group of premature babies of a very young age other than Suterwala et al…”
Section: Introductionmentioning
confidence: 99%
“…FEES provides images of the larynx and hypopharynx before and after (but not during) the pharyngeal swallow, which allows the detection of structural and physiological swallowing impairments, as well as an assessment of aspiration risk. FEES is a safe and effective tool for evaluating dysphagia in pediatric populations [33,34,35] and also allows for evaluation of laryngopharyngeal sensation in children with dysphagia [36,37]. …”
Section: Assessment Techniquesmentioning
confidence: 99%