FEES Testing

The Flexible Endoscopy Evaluation of Swallow (FEES test) is an invasive bedside test where the endoscope is inserted into the nares and 'hangs' above the epiglottis.  The FEES test allows direct assessment of motor and sensory aspects of swallowing, visually assesses pharyngeal and laryngeal stages of swallowing and allows observation of pharyngeal muscle movement, epiglottic movement, as well as vocal fold closure to allow management of dysphagia to decrease risk of aspiration pneumonia.

The FEES test provides objective data that is interpreted and implemented in a cohesive treatment plan for those with dysphagia. Administering a FEES test is a highly skilled service that can only be performed by SLP's who receive proper training.

The nature of FEES testing allows the test to be completed on-site with no need for transportation to an appointment or a CNA to leave the facility.

Patients who can be considered for FEES testing could include those who:

  • Complain of trouble swallowing liquid, food, or medication

  • Feel something stuck in their throat or pain upon swallowing

  • Have difficulty swallowing related to a stroke, Parkinson's Disease, MS, CP, dementia or other neurologic impairment

  • Have a history of reflux

  • Are NPO and may be able to return to oral feedings

  • Currently on an altered diet who may be able to benefit from an upgrade in their diet consistency


Language Fundamentals uses its own equipment to complete FEES tests and can perform testing in multiple areas of New York State.

Contact us at 845-897-3330 to discuss how FEES testing provided at your Skilled Nursing Facility can be a cost effective and patient friendly service for your patients.