MBSS vs FEES
This assessment allows direct visualization of secretion management, vocal fold function, and laryngeal anatomy.
What is FEES?
Significant unintentional loss of this may signal inadequate nutrition and is a key factor when considering tube placement.
What is weight?
This voice quality after meals is a classic sign of possible aspiration
what is wet voice quality
This strategy is used if a patient presents with premature spillage of the bolus into the pharynx and difficulty protecting the airway, often improving swallow safety by narrowing the airway entrance
chin tuck
This radiation side effect leads to reduced salivary production, impacting bolus formation and increasing dysphagia risk.
What is xerostomia?
A patient reports food “sticking” lower in the throat, and you suspect possible esophageal involvement. The preferred study is:
What is MBSS?
When recommending nonoral nutrition, clinicians must balance medical needs against this patient-centered factor, reflecting personal preferences and desired outcomes.
What is quality of life/goals of care?
This videostroboscopic finding during a sustained voicing task may indicate increased aspiration risk due to reduced airway protection.
what is glottic insufficiency?
This strategy is used if a patient presents with reduced hyolaryngeal elevation during swallowing, leading to incomplete opening and duration of the upper esophageal sphincter and pharyngeal residue.
What is the mendelsohn maneuver
HNC survivors can progressively develop this tissue change, resulting in new or worsening dysphagia, even 5+ years post CRT.
What is fibrosis/strictures/scarring?
This key limitation of FEES prevents visualization of the exact moment of swallow.
What is the "white-out" period?
Even with nonoral feeding, this serious lung condition can still occur due to reflux or poor secretion management.
The presence of this on laryngosocpy may be indicative of pharyngeal weakness or outflow obstruction
what is pooling of secretions?
This type of treatment is used if a patient presents with an ineffective cough, leading to poor airway clearance and pharyngeal residue
what is emst?
This radiation side effect causes limited mouth opening and impacts swallowing, mastication, oral hygiene, and speech.
What is trismus?
This instrumental assessment would be best for evaluating bolus movement and compensatory strategies in a patient s/p total glossectomy.
What is MBSS?
This interdisciplinary team member plays an important role in managing feeding tubes and ensuring patients are meeting caloric/hydration goals.
What is a dietician?
This recent medical event—especially when prolonged—warrants swallowing evaluation due to risk of laryngeal trauma and reduced sensation.
what is prolonged intubation?
This exercise may be used if a patient presents with reduced tongue base to posterior pharyngeal wall approximation, resulting in residue in the valleculae after the swallow
what is the masako maneuver
70% of head and neck cancers are related to this virus.
What is humanpapilloma virus (HPV)?
Why would we want to obtain an AP view during an MBSS, or what does it help assess?
What is checking laterality, identifying unilateral weakness, assessing UES function and esophageal clearance, etc.
Placement of a feeding tube does not show improved survival or quality of life for this neurodegenerative condition.
What is dementia?
Chronic aspiration is most commonly associated with infiltrates in this pulmonary region.
what is the right lower lobe?
This postural strategy may be effective if a patient presents with left sided pyriform sinus residue
what is left head turn
This swallowing exercise principle emphasizes continuing oral intake and exercising throughout CRT to prevent deconditioning and optimize outcomes.
What is use it or lose it/pharyngocise?