• Kara D Meister, Tyler Okland, April Johnson, Rhona Galera, Noel Ayoub, and Douglas R Sidell.
• Department of Otolaryngology-Head & Neck Surgery, Center for Pediatric Voice and Swallowing Disorders, Stanford University, Palo Alto, California, U.S.A.
• Laryngoscope. 2020 Jun 1; 130 (6): 1590-1594.

ObjectivesStatic Endoscopic Evaluation of Swallowing (SEES) has been demonstrated to have a strong correlation with the Videofluoroscopic Swallow Study (VFSS) in adults. In children, Fiberoptic Endoscopic Evaluations of Swallow (FEES) are frequently performed to avoid repeated VFSS; however, a subset of the population does not tolerate FEES. The purpose of this study was to evaluate the utility of a modified SEES in children.MethodsCharts of 50 consecutive patients who underwent FEES evaluations were reviewed. Patients age 3 months to 12 years undergoing SEES, FEES, and VFSS were extracted. We compared a binary assessment of outcome on SEES versus VFSS as the diagnostic standard to report characteristics, including sensitivity, specificity, and positive and negative predicted value.ResultsA total of 36 patients met all inclusion criteria (mean age 2.8 years). Using the VFSS as the diagnostic standard, residue seen on SEES had a sensitivity of 80.0%, specificity of 85.7%, a positive predictive value of 88.9%, and a negative predictive value of 75.0% for predicting deep penetration or aspiration.ConclusionSEES may be helpful for developing an initial diagnostic impression and may serve as a platform for patient and caregiver counseling. In children who are unable to cooperate with FEES, SEES may provide clinical insight in predicting an abnormal swallow study; however, a normal SEES was less reliable in predicting a safe swallow on subsequent VFSS in this patient population.Level Of Evidence4 Laryngoscope, 130:1590-1594, 2020.© 2019 The American Laryngological, Rhinological and Otological Society, Inc.

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