Others
The Fiberoptic Endoscopic Evaluation of Swallowing (FEES) was developed by Dr. Susan Langmore in 1988. Alongside the modified barium swallow (MBS) study, FEES has become a globally recognized gold standard for evaluating oropharyngeal dysphagia and for assessing swallowing function. This course provides surgeons and speech pathologists with 2 day lecture and hands-on practice. The lecture component covers normal physiology, indications, scoring, interpretation, use of endoscopy for treatment and program establishment. The hands on component takes place at the end of the entire course in Tata Memorial Centre and participants will pass the scope under the guidance of trained mentors. Designed to include the current advances in Head and Neck Cancer and practice, it will focus on surgery for total
laryngectomy and options for extensive surgical reconstruction; changes to the anatomy and physiology, their
effects upon breathing, swallowing and voice production and complication associated with these procedures.
Emphasis will be given to the strategies to reduce dysphagia and dysphonia using Intensity Modulated
Radiation Therapy (IMRT). Major focus will be given on evaluation and management of vibratory segment
tonicity using an air insufflation test and the use of Botox to treat spasm will be highlighted. Another focus of
this course will be on evaluation and management of voice and swallowing after total laryngectomy using
auditory perceptual evaluation, videofluoroscopy and FEES.