Koprowski Steven, VanLue Michael J, McCormick Michael E
1 Medical College of Wisconsin, Milwaukee, WI, USA.
2 Speech and Language Pathology Craniofacial Program, Masters Family Speech & Hearing Center, Children's Hospital of Wisconsin, Milwaukee, WI, USA.
Cleft Palate Craniofac J. 2018 Apr;55(4):615-618. doi: 10.1177/1055665617732788. Epub 2017 Dec 14.
Stress velopharyngeal incompetence (VPI) is a challenging clinical entity that can be managed by a variety of surgical and nonsurgical approaches. We describe the case of a clarinetist who presented with nasal air escape while playing. She had successful improvement in her symptoms after targeted injection of a hyaluronic acid compound to her posterior pharyngeal wall. Our objective is to describe the safety and efficacy of this technique, to emphasize the multidisciplinary management of patients with stress VPI, and to review the importance of both nasopharyngoscopy and videofluoroscopy in their evaluation.
应激性腭咽闭合不全（VPI）是一种具有挑战性的临床病症，可通过多种手术和非手术方法进行治疗。我们描述了一位单簧管演奏者的病例，她在演奏时出现鼻腔漏气。在对其咽后壁进行靶向注射透明质酸化合物后，她的症状得到了成功改善。我们的目的是描述该技术的安全性和有效性，强调应激性VPI患者的多学科管理，并回顾鼻咽喉镜检查和电视荧光透视检查在其评估中的重要性。
