Aerodigestive and Esophageal Center, Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, OH.
Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, IL.
Am J Speech Lang Pathol. 2020 Jul 10;29(2S):967-978. doi: 10.1044/2019_AJSLP-19-00072.
Purpose Fiberoptic endoscopic evaluation of swallowing (FEES) is a widely used instrumental procedure used to assess swallowing function in persons of all ages, from infants to older adults. In this article, the history of FEES in adults, the protocol, the scoring system, and the interpretation of abnormal findings are summarized. The use of FEES to guide treatment in adults is also covered briefly. Following this review in adults, the use of FEES in infants and children is presented, including the anatomical-physiological assessment and the assessment of swallowing of food and liquid. Interpretation of findings and therapeutic applications are discussed. Conclusion FEES is a valuable part of the clinical protocol for evaluation and management of dysphagia across the life span. It provides a mechanism for in-depth analysis of swallowing structures and function during intake of liquid and food boluses. Future developments include standardized training content to ensure clinical competency and the development of standardized examination and interpretation protocols.
目的 纤维内镜吞咽功能检查（FEES）是一种广泛应用的仪器检查方法，用于评估各个年龄段人群（从婴儿到老年人）的吞咽功能。本文总结了成人 FEES 的历史、方案、评分系统以及异常发现的解读，还简要介绍了 FEES 在成人中的治疗应用。在对成人的综述之后，本文介绍了 FEES 在婴儿和儿童中的应用，包括解剖-生理学评估以及对食物和液体吞咽的评估。本文还讨论了发现的解读和治疗应用。结论 FEES 是贯穿整个生命过程中评估和管理吞咽障碍的临床方案的重要组成部分。它为在摄入液体和食物团块时深入分析吞咽结构和功能提供了一种机制。未来的发展包括标准化培训内容，以确保临床能力，以及制定标准化的检查和解读方案。
