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IP Journal of Otorhinolaryngology and Allied Science


A diagnostic modality in dysphagic patients-FEES (Functional Endoscopic Evaluation of Swallowing)


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Author Details: Devan PP,Joseph Kalliath,Swetha Shankar*,Vishwas Pai

Volume : 2

Issue : 1

Online ISSN : XXXX

Print ISSN : XXXX

Article First Page : 22

Article End Page : 27


Abstract

Introduction: Dysphagia originates from the Greek word 'dys' (with difficulty) and 'phagia' (to eat). Dysphagia has been investigated using various radiological techniques. In our study, dysphagia was evaluated with flexible fiberoptic Endoscope, proving to be a useful and effective procedure for diagnosing dysphagia.
 Aims and Objectives: 1.To identify common aetiological factors age and sex prevalence. 2. Analyse outcomes of investigative procedures.
Materials and Methods: The study was conducted on the Outpatient and Inpatient from the Department of ENT in A.J. Institute of Medical Science, Mangalore.
A. Inclusion criteria: 1. Patients with dysphagia. 2. Patients willing to participate.
B. Exclusion criteria: 1. Diagnosed cases of malignancy, inflammatory conditions requiring active intervention. 2. Patients unwilling to participate.
Results: In our study 100 patients were evaluated with FEES, in 74% Showing presence of sensation, 51 showed No bvious pathology and 23 patients showed Laryngopharyngeal reflux. In patients showing absence of sensation (26%) aspiration was noted in 17 patients and Laryngopharyngeal reflux + Aspiration in 9. Rigid esophagoscopy was done in patients presenting with aspiration, aspiration/ laryngopharyngeal reflux and in those with no pathology.
Conclusion: FEES has taken advantage of a marvelous tool, the flexible endoscope to visualize the pharyngeal and laryngeal structures. Likewise, in our study it has proven to be a valid and cost-effective procedure for diagnosing dysphagia and guiding treatment. Additionally, it can be done as a bedside procedure and used in critically ill patients.

Keywords: Dysphagia, Fees, Barium swallow, Rigid rsophagoscopy.