Flexible Endoscopic Evaluation of Swallowing

A Flexible Endoscopic Evaluation of Swallowing (FEES) is a safe and widely used procedure that allows a detailed view of how you swallow. This is an advanced scope-of-practice skill that requires ongoing professional development. During the assessment, a thin, flexible camera is gently passed through the nose, allowing the Speech Pathologist to visualise the pharynx and upper airway while you eat and drink different textures.

FEES is a validated, instrumental assessment used to directly observe the pharyngeal phase of swallowing. The flexible nasendoscope provides a clear view of the larynx, pharynx, and upper airway while the patient consumes food and fluids of varying consistencies.

This assessment enables detailed evaluation of:

• Secretion management and airway protection
• Timing and efficiency of the swallow
• Presence and severity of penetration or aspiration
• Effectiveness of compensatory strategies, manoeuvres, and postural adjustments

FEES is safe, well-tolerated, and does not involve radiation exposure. It provides high-quality, real-time information to support accurate diagnosis and tailored management plans for individuals with suspected or confirmed dysphagia.

Referral Requirements

• A signed copy of the “FEES Consent Form” from the patient
• A signed copy of the “FEES Risk Management Checklist” from a GP or specialist
• Medical history summary including a current medications list

Please note: To book this assessment, contact Voice + Swallowing Solutions directly.

Locations

Level 7, Suite 7.1 at St Andrew’s War Memorial Hospital Spring Hill, QLD 4004

FEES Clinic Contact

Nadia de Silva

nadia.desilva@vssolutions.com.au

Eleanor Perkins

eleanor.perkins@vssolutions.com.au