Normal swallow on MBSS

All structures seen at one time

Normal swallow on MBSS - all structures seen at one time

Normal swallow seen on FEES

Only one surface structure is seen at a time

Normal swallow seen on FEES – one surface structure seen at a time

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