FEESST is the state of the art non-radioactive alternative to modified barium swallow studies. This exam will allow for direct assessment of the motor and sensory aspects of the swallow in order to precisely guide the dietary and beghavioral management of patients with swallowing problems to decrease the probability of aspiration pneumonia.

Velopharyngeal closure, anatomy of the base of the tongue and hypopharynx, abduction of the vocal folds, pharyngeal musculature and the aptient's ability to handle his/her own secretions are assessed.

FEESST also allows evaluation of extra-esophageal manifestations of gastro-esophageal reflux including asthma, hoarseness, laryngitis, globus and aspiration.

FEESST is a two part test. The first part of the test assesses sensation in the larynx in order to illicit an airway protective reflex. The second part of the test involves giving food to the patient (with green food coloring mixed in) and watching/ tracking where the food travels in the throat region.

Benefits of FEESST:
            - Immediate results including dietary recommendations
            - Outpatient, in-office, procedure
            - Non-radioactive alternative to modified barium swallow studies
            - Cost effective
            - Portable capabilities

Information on Dr. Aviv's book on FEESST co-written with Dr. Murry can be
found here.

To read a detailed overview of FEESST written by Dr. Aviv, please click here.