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Woman who participated in a FEES assessment due to swallowing difficulty after stroke

Mobile Flexible Endoscopic
Evaluations of Swallowing (FEES)

The Ohio FEES Coalition is a Group of Like-Minded Speech-Language Pathologists Serving Facilities in Ohio, SE Michigan, & NW Pennsylvania for SNF, Physician Offices, LTAC, Hospitals, & In-Home* with mobile FEES.
*In-Home by consultation ONLY

Mobile FEES and Speech in Toledo, Ohio and Surrounding Areas
Onsite (we come to you!) swallowing evaluations
Mobile FEES and Speech in Toledo, Ohio and Surrounding Areas
Real-time results & recommendations
Mobile FEES and Speech in Toledo, Ohio and Surrounding Areas
Portable, comfortable, convenient, & efficient for patients
Mobile FEES and Speech in Toledo, Ohio and Surrounding Areas
We will be onsite in 1-2 business days

Our Coalition Services The following Areas:

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Your Local Experts in Swallowing Disorders

Here's how we can support your facility and your patients with our mobile swallowing evaluations:

The Ohio FEES Coalition provides mobile, onsite swallowing evaluations to efficiently and accurately identify swallowing disorders. We can be onsite within 2 business days of receiving your request.

We use the gold-standard tools: Fiberoptic Endoscopic Evaluation of Swallowing (FEES)

No need to transport your patients

Cost-effectivie, efficient, & evidence-based

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Introducing Fiberoptic Endoscopic Evaluation of Swallowing (FEES)

Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is an instrumental assessment that uses an endoscope to assess a patient's swallowing function. The camera allows us to view your patient's ability to swallow food and liquids while also viewing the structures of the throat and upper airway during active eating. It is considered a gold standard in the field of dysphagia evaluation and management of the symptoms.

A visual diagram of mobile fiberoptic endoscopic swallowing examinations (FEES)

How does mobile FEES compare to other swallow studies?

The alternative to FEES is a modified barium swallow study (MBSS) which is an x-ray taken while the patient eats and drinks food that is incorporated with barium.


MBSS has visual limitations, resulting in a less accurate diagnosis of the specific swallowing issues.


MBSS also requires transportation to a radiology department.

What are the benefits of mobile FEES?

FEES is portable, making it more efficient, cost-effective, and appropriate for medically fragile patients.

Patients can see their swallow on camera, increasing patient understanding and buy-in.

A complete, objective, and detailed evaluation and recommendations are provided immediately on the same day.

Who is a candidate for mobile FEES ?

Patients living with or recovering from: stroke, traumatic brain injury (TBI), Parkinson's Disease and other progressive neurological conditions, head and neck cancer, post-surgical changes (laminectomy, spinal fusion, endarterectomy, tracheostomy), Sjögren and other auto-immune disorders, muscular dystrophies, and individuals advancing in age (presbyphagia) are all candidates for FEES.

What happens after the evaluation? Do you offer support or therapy for the patient?

The short answer is YES, we offer follow-up support and swallowing therapy.


Maumee Bay Mobile Speech Services provides therapy to treat swallowing disorders as a continued benefit for seniors 65 and older through our mobile Medicare Part B outpatient therapy services in our office, your home, or online.


We also provide staff trainings to facilities and offices for various topics:

  • Transition to standardized dietary communication from National Dysphagia Diet (NDD) to International Dysphagia Diet Standardization Initiative (IDDSI)

  • Staff food modification training (How to Thicken 101)

  • Oral care championing in-services

  • Dementia environmental modifications

  • And more!

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Signs & Symptoms of a Swallowing Disorder

Swallowing issues can lead to coughing, choking, difficulty breathing, and even aspiration pneumonia. If you have any concerns about your patient's, loved one's, or your own swallowing, contact us.

While this is not an exhaustive list, here are some common signs of a swallowing disorder (dysphagia):

  • Coughing, choking, difficulty breathing during or immediately after swallowing

  • A stuck feeling or lump in the throat that does not clear with additional swallowing

  • A "wet" sounding voice after eating or drinking

  • Pain or discomfort with swallowing

  • Anxiety/fear surrounding swallowing

  • Recurrent chest colds or pneumonia

Adult participating in swallowing therapy after TBI
Maumee Bay Mobile Speech Services, Oregon, OH




West Ohio & SE Michigan: 419-504-9198

East Ohio & NW Pennsylvania: 419-376-1068



445 Earlwood Ave. Suite 108
Oregon, Ohio 43616

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