FEESST: Flexible Endoscopic Evaluation of Swallowing with Sensor

FEESST enables speech/language pathologists, otolaryngologists, gastroenterologists, and pulmonologists to raise the level of care for their patients with swallowing problems. This is an essential text for all therapists, physicians, and other clinicians that treat swallowing disorders.

For the first time this new examination allows direct assessment of both the motor and sensory aspects of the swallow, enabling physicians to precisely guide the dietary and behavioral management of patients to decrease the risk of aspiration pneumonia. The authors provide readers with a science behind the instrumentation, the protocols for its use, and detailed case studies demonstrating its value in evaluating and managing diverse groups including: ■ Patients with a history of reflux; ■ Recent stroke patients experiencing difficulty swallowing, throat clearing, or choking during meals; ■ Patients with a difficulty related to an underlying diagnosis of Parkinson's Disease; cerebral palsy, multiple sclerosis, ALS, or dementia; ■ Patients with a history of upper respiratory infections, unexplained fevers, aspiration pneumonia, or asthma; ■ Patients who complain about trouble swallowing liquid, food, or medications; ■ Patients receiving nutrition via G-tube or NGT who are candidates for improved function and ability to tolerate oral feedings; ■ Patients with a Tracheotomy.

Contents Include:

● Foreword by Philip O. Katz, M.D.
● Preface
● List of Commonly Appearing Abbreviations
● Chapter I. Introduction to Swallowing
○ Why FEESST?
○ Structure of the Voice and Swallowing Center
○ Importance of Dysphagia
○ Endoscopic Anatomy
○ Swallowing Physiology
○ Summary
○ References
● Chapter II. FEESST Technique
○ Instrumentation
○ Examination of the Nose, Pharynx, and Larynx
○ Method
○ Summary
○ References
● Chapter III. FEESST Applications and Outcomes
○ Laryngeal Sensory Testing in the Elderly
○ Laryngeal Sensory Testing in Stroke Patients with Dysphagia
○ Using FEESST to Predict Laryngeal Penetration and Aspiration
○ Outdomes: FEESST Versus Modified Barium Swallow (MBS)
○ Summary
○ References
● Chapter IV. Sensory Testing Alone
○ Site of Lesion Testing
○ Acid Reflux Disease
○ Summary
○ References
● Chapter V. Transnasal Esophagoscopy (TNE): What to Do When the Sensory Test and/or FEESST Results
Cannot Explain the Etiology of the Patient’s Dysphagia
○ Introduction
○ Development and Applications of TNE
○ Indications for TNE
○ Technique of TNE
○ Algorithm for When to Use TNE, Sensory Testing, and FEESST
○ What to Look for During TNE
○ Summary
○ References
● Chapter VI. FEESST Safety
○ Introduction
○ Research on FEESST Safety
○ FEESST Safety and Dysphagia Etiologies
○ FEESST Safety and Possible Complications
○ Summary
○ References
● Chapter VII. Coding
○ Flexible Endoscopic Evaluation of Swallowing with Sensory Testing (FEESST), Sensory Testing, and Fiberoptic
Endoscopic Evaluation of Swallowing (FEES)
○ Transnasal Esophagoscopy (TNE)
○ Panendoscopy (Laryngeal with Biopsy and Esophagoscopy with or Without Biopsy)
○ Summary
○ References
● Chapter VIII. Cases
○ Case 1: Parkinson’s Disease
○ Case 2: Vascular Malformation
○ Case 3: Neuralgia
○ Case 4: Stroke
○ Case 5: Laryngopharygeal Reflux (LPR)
○ Case 6: Dysphagia Following Open-Heart Surgery
○ Summary
○ References
● Index

144 pages, Color Illustrations (4 Color), Hardcover, 7 x 10"