MBSS vs FEES
Normal swallow on MBSSAll structures seen at one time |
Normal swallow seen on FEESOnly one surface structure is seen at a time
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BIOMECHANICS and Swallow Parameters OBSERVED | Mobile Dysphagia Consult MBSS/Esophageal Assessment | FEES |
Lip Closure | Yes | |
Bolus Preparation/Mastication | Yes | |
Bolus Transport/Lingual Motion | Yes | |
Oral Residual | Yes | |
Soft Palate Elevation | Yes | |
Nasopharyngeal Reflux | Yes | |
Actual Pharyngeal swallow | Yes | White out during swallow |
Vocal Cord Movement | Yes | Yes |
Laryngeal Elevation | Yes | |
Anterior Hyoid Excursion | Yes | |
Epiglottic Movement | Yes | Partial viewing |
Laryngeal Vestibule Closure at Height of Swallow | Yes | |
Pharyngeal Stripping wave | Yes | |
Pharyngeal Contraction A-P View | Yes | |
Pharyngoesophageal Segment Opening During Swallow | Yes | |
Bolus Movement before and after the Swallow | Yes | Yes |
Bolus Movement during the Swallow | Yes | |
Pharyngeal Residuals | Yes | Yes |
Tongue Base Retraction | Yes | |
Aspiration before or after the swallow | Yes | Yes |
Aspiration seen during swallow vs white out during the swallow | Yes | |
Esophageal Clearance/Motility | Yes | |
Esophageal Reflux | Yes | |
Soft Tissue Abnormalities / Masses | Yes | |
Cervical Osteophytes & Cervical Spine Abnormalities | Yes | |
Diverticulum | Yes | |
Esophageal Strictures | Yes |