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[Dysphagia] VFSS vs FEES
- Subject: [Dysphagia] VFSS vs FEES
- From: ict101 at hotmail.co.uk (ict graham)
- Date: Sat, 17 Sep 2011 17:02:43 +0100
Comparison between videofluoroscopy and FEES... [Otolaryngol Head Neck Surg. 2010]
(2007) Assessing penetration and aspiration: how do
videofluoroscopy and fiberoptic endoscopic evaluation of
swallowing compare? Laryngoscope 117(10):1723?1727.
Laryngoscope. 2007 Oct;117(10):1723-7. Kelly AM,
Assessing penetration and aspiration: how do videofluoroscopy
and fiberoptic endoscopic evaluation of swallowing compare?
We aimed to investigate whether the type of dysphagia examination
(fiberoptic endoscopic evaluation of swallowing [FEES] or
videofluoroscopy) influences the scoring of penetration and
Prospective, single-blind study.
Fifteen dysphagic participants were recruited and underwent one
FEES and one videofluoroscopy examination, performed and
recorded simultaneously. Fifteen independent raters from 12
centers scored penetration and aspiration from recordings using
the Penetration Aspiration Scale. Raters were blind to participant
details, the pairing of the FEES and videofluoroscopy recordings,
and the other raters' scores. Interrater and intrarater reliability were
analyzed using weighted kappa.
The Penetration Aspiration Scale scores were significantly higher
for the FEES recordings than for the videofluoroscopy recordings
(ANOVA P < .001). The mean difference between the FEES and
videofluoroscopy penetration aspiration scores for the same
swallows was 1.15 points. Interrater and intrarater reliability ranged
from 0.64 to 0.79 (weighted kappa).
Penetration aspiration is perceived to be greater (more severe) from
FEES than videofluoroscopy images. The clinical implications are
Dysphagia A to Z
What's the general consensus on FEES vs MBSS? I have never used FEES, but
have a new collegue who is trained and I wanted to get some other opinions.
I work in a SNF and have always sent my pts to a local hospital for MBSS.
How does FEES compare as far as types of results, accuracy, etc. I know cost
is much less which is very beneficial.