Swallowing outpatient clinic

Swallowing disorders are a common problem in cases of brain injury caused by strokes and in many other neurological diseases such as Parkinson's disease.

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The outpatient swallowing clinic has been an important part of the MVZ for over ten years - a specialisation that enjoys an excellent reputation in specialist circles far beyond the borders of Troisdorf. It took two years for those responsible at the licensing authorities to give the green light for the start of a project that was unique in Germany at the time. Linking a speech therapy practice to a medical care centre was fundamentally new in 2010 and required a pioneering spirit from everyone involved.

A team of six swallowing therapists is now available to people with swallowing disorders, providing inpatient, outpatient and home visit care - both regionally and nationally.

Diagnostic procedures

Clinical diagnostics

During clinical swallowing diagnostics, the parameters relevant to swallowing, such as muscle strength and reflexes, are tested in addition to the patient's medical history, and the sequence of events is observed. Taking all factors into account, an assessment of the severity of the swallowing disorder can be made. However, a Flexible Endoscopic Evaluation of Swallowing (FEES) is usually recommended for a precise assessment and estimation of the risk of aspiration.

FEES/radiological swallowing examination

The abbreviation FEES stands for Flexible Endoscopic Evaluation of Swallowing.

In endoscopic swallowing diagnostics, a thin endoscope is inserted into the throat through the nose and remains above the larynx. While the patient eats something, it is possible to observe what happens to the food in the throat. Is it following the right path into the oesophagus, or is there some leftover food in the throat or is it even getting into the lungs?

It is a very good complementary diagnostic tool to clinical diagnostics and can be carried out here on an outpatient basis without any problems. In addition to recommendations for further food intake, it also provides important information for the therapeutic procedure. Radiological swallowing examinations can only be carried out on an inpatient basis.

Focal points

In the course of our work, we have developed a number of therapeutic specialisations. We treat patients with

  • Stroke / cerebral haemorrhage
  • Craniocerebral trauma
  • Parkinson's disease and Parkinson's-related disorders
  • Multiple sclerosis
  • ALS/PLS
  • Tumour diseases
  • Tracheal cannulas
  • Ventilated patients
  • Paediatric patients (e.g. early childhood disorders, chewing, swallowing and feeding disorders in children)

Specialist outpatient clinic for swallowing disorders

But as a specialist outpatient clinic for swallowing disorders, patients with:

  • neuropathy
  • myasthenia
  • dementia
  • Guillian-Barré syndrome
  • Huntington's chorea
  • Psychogenic dysphagia
  • Muscular dystrophy
  • Spinal muscular atrophy
  • Encephalitis
  • meningitis

and all other disorders associated with dysphagia are welcome at any time!

As you and your situation and goals are at the centre of our attention, we not only support you in the treatment of your swallowing disorder, but also accompany you on your way to palliative care. This enables us to act in an advisory and mediating capacity thanks to our long-standing partnerships. Please feel free to contact us!

Diagnostics with FEES

If you would like to make an appointment for FEES diagnostics, please contact the Department of Neurology at our MVZ Rhein-Sieg - Sieglar on 02241 488-670 or use the digital appointment request form below.

Appointments can usually be made within a few weeks. Please complete the form below and bring it with you to your appointment.

Swallowing therapy / speech therapy

If your doctor has issued you with a prescription for swallowing therapy (speech therapy), you can make an appointment by telephone on 02241 488-716 or use the digital appointment request form below.

Your appointment request

Management

  • Ulrich Birkmann

    Therapeutischer Leiter

    Diplom Sprachheilpädagoge, FEES-Ausbilder (DGN/DGS/DGG) Schwerpunkte: Geriatrie, Neurodegenerative Erkrankungen (Amyotrophe Lateralsklerose), Parkinson Lehraufträge an den Universitäten Köln, Bielefeld und Bochum

Deputy management

Therapist:inside

MVZ Rhein-Sieg - Sieglar
Swallowing diagnostics

Wilhelm-Busch-Straße 9
53844 Troisdorf (Sieglar)
schluckambulanz@gfo-kliniken-troisdorf.de

How to find us

To make an appointment, please contact usby telephone at
or use our appointment form.

Tel. 02241 488-670 Appointment allocation (FEES)
Tel. 02241 488-589 Appointment cancellation

MVZ Rhein-Sieg - Sieglar
Swallowing therapy

Dechant-Wirtz-Straße 1
53844 Troisdorf (Sieglar)
schluckambulanz@gfo-kliniken-troisdorf.de

How to find us

To make an appointment, please contact usby telephone at
or use our appointment form.

Tel. 02241 488-716 Appointment booking

Our premises are located on the 2nd floor of the old nurses' residence.


Access is via Dechant-Wirtz-Straße.