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Feeding Therapy

Fiberoptic Endoscopic
Evaluation of Swallow.

Fiberoptic Endoscopic Evaluation of Swallow (FEES), Monkey Mouths

Fees at Monkey mouths

Monkey Mouths is currently one of the only pediatric private practices in Texas that performs fiberoptic endoscopic evaluations of swallowing (FEES studies) independently in an outpatient setting. This radiation-free test is the safer, more comfortable alternative to a modified barium swallow study performed in a hospital setting.  Monkey Mouths is currently using FEES to evaluate infants who are breast or bottle feeding.

FEES is used to evaluate your child’s swallowing abilities. It is an accurate and safe way to gain information that involves passing a flexible endoscope through the nose into the throat to directly see all structures. During the study, you will feed your baby while the endoscope is inserted so that his/her swallowing ability can be observed.

The study generally takes less than 20 minutes to complete. After the study is complete, the speech pathologist will give you recommendations for how to improve the safety and timing of the swallow as well as recommendations for Neuromuscular Electrical Stimulation (NMES) therapy if recommended.

Why does Monkey Mouths use FEES?

Do I need a prescription from my physician for a FEES study?

Yes. Although a speech-pathologist can practice independently, Monkey Mouths does require that a prescription be obtained from your physician for a FEES study. After speaking with you on the phone, we will make recommendations to your physician as to whether or not FEES is an appropriate evaluation tool for your child. We will also want your physician to recommend medications as necessary for the study.

Monkey Mouths Fiberoptic Endoscopic Evaluation of Swallow

After the study, we will want to coordinate care and/or additional referrals with your physician.

Is FEES covered by my insurance?

Many insurance companies recognize FEES as their preferred method for swallow evaluation. That being said, we have a limited number of insurance companies that we are currently in network with for a FEES Study. For other families, we do have an affordable time-of-service option of $350.

Comparison of Modified Barium Swallow Study to FEES.

Monkey Mouths Fiberoptic Endoscopic Evaluation of Swallow