2018 | 47 EN | 1 | 247-253
Article title

Instrumental FEES Examination in the Assessment of Swallowing Disorders in Patients with Acute and Subacute Vascular Brain Injury – Advantages and Disadvantages

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Neurogenic dysphagia, as the most common cause of swallowing disorders in the oral and pharyngeal phase, often leads to potentially fatal clinical consequences such as malnutrition, dehydration, aspiration pneumonia, and also worsens the overall functioning of the patient, including the appearance of depression. Thus early diagnosis of dysphagia and appropriate therapeutic measures are important in preventing the above-mentioned complications. Endoscopic assessment of swallowing disorders using a flexible nasofiberoscope (fiberoptic endoscopic evaluation of swallowing – FEES), together with a videofluoroscopic swallow study (VFSS), are the fundamental instrumental examinations in the evaluation of swallowing disorders in patients with neurogenic dysphagia (1, 2). FESS is currently considered to be the gold standard in the diagnosis of neurogenic dysphagia, because it not only allows direct visualization of the act of swallowing, but is safe for the patient, does not require a contrast agent and does not expose the patient and staff to radiation. However, it has some disadvantages and risks for the patient. The aim of this paper is to present the advantages and disadvantages of the FEES method in the assessment of neurogenic dysphagia, with particular emphasis on patients with acute or subacute vascular brain injury.
Physical description
  • Department of Neurological Rehabilitation, Faculty of Medical Sciences University of Warmia and Mazury
  • Department of Otorhinolaryngology and Head and Neck Diseases, Faculty of Medical Sciences University of Warmia and Mazury
  • Department of Otorhinolaryngology and Head and Neck Diseases, Faculty of Medical Sciences University of Warmia and Mazury
  • Department of Otorhinolaryngology and Head and Neck Diseases, Faculty of Medical Sciences University of Warmia and Mazury
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