title: Fiberoptic Endoscopic Evaluation of Swallowing in children: feeding outcomes related to diagnostic groups and endoscopic findings.
abstract: OBJECTIVE
  Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is used as an adjunct to assess swallowing function in children with complex feeding disorders. We report the feeding outcomes of patients who underwent FEES to determine whether associations exist between clinical diagnoses or FEES findings and feeding outcomes.
  
  
  METHODS
  Retrospective review of children who underwent FEES for dysphagia or aspiration from 2003 to 2009. The clinical diagnoses and initial FEES findings were compared to follow up feeding status for associations.
  
  
  RESULTS
  79 patients were included (44 males and 35 females). The change from initial to final status: total oral feeding (42-67%), NPO ± minimal tastes (39-21%) and oral feeding with tube feeding (19-12%). Of the clinical diagnoses, tonsillar hypertrophy was associated with ultimately obtaining total oral feeding status (p = 0.046) while the inability to obtain total oral feeding status was associated with neurologic (p < 0.001). The initial FEES findings showed no significant associations with long-term feeding status.
  
  
  CONCLUSIONS
  Many children overcome their dysphagia but those with neurologic disorders are less likely to achieve total oral feeding status. In children with dysphagia evaluated by FEES, the long-term feeding status is not significantly associated with the initial FEES findings.
authors.affiliation: Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, WI, United States. msitton@mcw.edu
authors.forename: Matthew
authors.initials: M
authors.lastname: Sitton
authors.forename: Joan
authors.initials: J
authors.lastname: Arvedson
authors.forename: Alexis
authors.initials: A
authors.lastname: Visotcky
authors.forename: Nicole
authors.initials: N
authors.lastname: Braun
authors.forename: Joseph
authors.initials: J
authors.lastname: Kerschner
authors.forename: Sergey
authors.initials: S
authors.lastname: Tarima
authors.forename: David
authors.initials: D
authors.lastname: Brown
mesh_terms: D002675:Child, Preschool; D015331:Cohort Studies; D003679:Deglutition / Q000502:physiology*; D003680:Deglutition Disorders / Q000175:diagnosis*; D004724:Endoscopy / Q000379:methods*; D005248:Feeding Methods / Q000639:trends; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D014481:United States