Completely new book on an innovative new approach to assessment and treatment of swallowing disorders Caters for the increasing team approach in swallowing of laryngologist, gastroenterologist, pulmonologist and speech pathologist Profusely illustrated with and black and white photos Features practical coverage of the use of instrumentation as well as case examples Authors are extremely well-known and are traveling the world with courses demonstrating this new technique FEESST enables Otolaryngologists, gastroenterologists, and pulmonologists to raise the level of care for their patients with swallowing problems. This is an essential text for all physicians, clinicians and speech pathologists 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.
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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
