imagining techniques for studying swallowing

Question 1

what does FEES stand for?

Answer 1

fiberoptic endoscopic evaluation of swallowing

Question 2

what is the white out period?

Answer 2

In a FEES study, the actual swallow is not viewed due to the pharynx closing around the endoscopic tube and blocking the image

Only see right before and right after swallow

Question 3

some pros of FEES

Answer 3

portable

flexible w/ regards to positioning

time/length of exam

ST only (no radiology)

no radiation exposure

Question 4

some cons of FEES

Answer 4

invasive

aspiration during swallow can only be inferred (white out period)

need special equipment

increased training due to invasiveness of procedure

Question 5

Answer 5

A: vocal cords

B: false vocal cords

C: epiglottis

D: base of tongue

E: arytenoids

F: aryepiglottic folds

G: lateral channels

H: pyriform sinuses

I: posterior pharyngeal wall

Right picture: laryngeal vestibule

Question 6

what does VFSE stand for?

Answer 6

videofluroscopic swallowing eval

Question 7

what does MBS stand for?

Answer 7

modified barium swallow

Question 8

what phase always requires further imaging?

Answer 8

pharyngeal phase

Question 9

when considering where to stand for an MBS, remember what 3 radiation safety guidelines?

Answer 9

barrier

distance

time

Question 10

time (as far as radiation safety guidelines) is measured in what?

Answer 10

dosimeters

Question 11

in a VFSE/MBS, if barium is aspirated, how long does it take to clear?

Answer 11

72 hours

Question 12

what is the name of the standardized protocol for a VFSE/MBS?

Answer 12

MBSImP

modified barium swallow impairment profile

Question 13

name textures/consistencies in order of thinnest to thickest

Answer 13

thin liquid

thick liquid

pureed

wet soft

dry soft

meat

dry crumbly

pill