Videostroboscopy and FEES for Beginners

05/22/2025

FREE Flexible and Rigid Videostroboscopy training video by Dr Simon Best (Laryngologist) at the Johns Hopkins Voice Center located at Greater Baltimore Medical Center:

Presented by Simon Best, MD, Laryngologist.This video is a tutorial on rigid and flexible stroboscopy. Dr. Simon Best is a fellowship trained Laryngologist ...

05/15/2025

Aspiration isn’t the end—it’s the beginning.
When we do FEES, we’re not just looking for the problem.
We’re therapists, and we’re here to find the solution.

Teach the strategy. Start the therapy. Give them something they can use at home.

Let’s do more than observe—let’s empower. 💪🧠🥄

Aspiration? That’s just a moment. What we do with it is what really matters.

04/25/2025

04/24/2025

We love the clinical guidance that the Voice-Vibratory Assessment With Laryngeal Imaging (VALI) offers when performing Vidostroboscopy. That being said, we don't stop there 🤺 Here are some slides to improve critical thinking by including a multi-task approach 🤹‍♀️

02/24/2025

🏀Using the "baLLL" task on FEES: When learning FEES it's a common mistake for beginners to forget about the oral phase of the swallow. We are so fixated on the pharyngeal phase and penetration/aspiration that we miss key findings. Here is a great example of additional information obtained from checking base of tongue with this simple verbal task.

02/13/2025

Merck Manual offers free printouts for both the clinician as well as the patient. Check out their other various resources for laryngeal disorders:

Overview of Laryngeal Disorders - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the Merck Manuals - Medical Professional Version.

02/13/2025

The journey towards becoming competent with FEES and/or Videostroboscopy is full of challenges. You have to set aside your pride and commit to a very humbling path of self study along with continued guidance from mentors. But you have to start somewhere 🐢

01/19/2025

This video emphasizes the importance of the right tasks on Videostroboscopy for improved diagnostics. This narrowed down the problem area which appeared to be either vocal fold nodules or a left vocal fold polyp (right side of screen) with small contact reaction on right fold. ENT confirmed vocal fold nodules on their exam. Another clue that a swelling or lesion is present is when you see mucus gathering in the same area persistently. We noticed mucus gathered in the area on the left fold pretty consistently throughout the exam as well🎯

01/11/2025

Easy to miss, which is why being able to play back and have frame-by-frame software is important 🎥

11/27/2024

🪩Great example of the value for using a strobe light source to better assess the vocal folds.

11/25/2024

A left vocal fold hemorrhage as seen under standard light (first clip). During the "ee" as expected we do not see movement for the exposed lateral edges of the vocal folds since standard lighting will not capture this. The next slow motion clip shows you the entirety of the obscurred left true fold once the patient is instructed to breathe in. We then turn on the strobe and are able to see mildly decreased amplitude for the right true fold. The left true fold continues to be mostly obscured due to significant compression of the left false fold; however, the lateral edge is slightly visible. We see this almost staying in place as it's visible throughout the "ee" production under strobe.

11/06/2024

A great resource to have for anyone learning Videostroboscopy is this Laryngeal Evaluation book. The accompanying DVD features high-quality video clips of vocal fold vibration that clearly demonstrate every pathology and evaluation technique cited in the text. Each clip is cross-referenced to a specific location in the book for maximum accessibility. We use it for training with our clinicians (no financial ties, just a great product). Amazon Link:
https://amzn.to/3NY46au