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Pediatric Flexible Endoscopic Evaluation of Swallowing (FEES)


Children with swallowing and voice disorders have a unique outpatient service at Children’s Health℠  dedicated to treating their conditions. The Flexible Endoscopic Evaluation of Swallowing outpatient service includes professionals who are experts at diagnosing and treating related disorders, even in children with complex medical issues. A majority of patients treated here have aerodigestive disorders with multiple airway, pulmonary and digestive problems. 

Why Children's Health℠?

The doctors, surgeons and nurses at Children’s Health all have special training in the care of children, and most are also trained in a specific pediatric specialty. We have the largest group of pediatric ENT specialists in North Texas, and they are experts in treating kids with ENT disorders. Affiliated with UT Southwestern Medical Center, our care team establishes Children's Health as one of the nation's premier pediatric hospitals.

Every patient is evaluated by the ENT team to develop a care plan that is designed especially for him or her. The team will work with you from diagnosis to treatment, and provide resources and education to help you make the best decisions for your child and your family.

Conditions We Treat

  • Chronic aspiration
  • Cleft lip and palate
  • Craniofacial anomalies
  • Infantile spasms and cerebral palsy
  • Laryngotracheal Clefts
  • Macroglossia
  • Neuromuscular disorders
  • Oral aversion
  • Tracheostomy patients
  • Vocal cord paralysis

What to Expect

Feeding and swallowing disorders (also known as dysphagia) include difficulty with any step of the feeding process, from the point where food or liquid is taken into the mouth until it reaches the stomach or intestines. Children with dysphagia may experience difficulty breathing or may choke or cough while trying to eat, and they may not be at the appropriate weight for their age. 

The FEES service helps assess the child's condition by using a small, flexible telescope that is inserted through the nose. The child is then fed a variety of foods and liquids under observation by our care team. This procedure allows our specialists to provide you and your child with recommendations to improve swallowing. 

Common Procedures

  • Bronchial alveolar lavage
  • Bronchoscopy
  • Flexible endoscopic evaluation of swallowing
  • Laryngoscopy
  • Modified barium swallow