Stress velopharyngeal incompetence: Two case reports and options for diagnosis and management.
Stress velopharyngeal incompetence (SVPI) commonly affects brass and wind musicians. We present a series of two patients who presented with nasal air emission following prolonged woodwind instrument practice. Neither patient demonstrated audible nasal air emission during speech, but endoscopy revealed localized air escape/bubbling from different sites for each patient with instrument playing only. Both underwent tailored surgical treatment with resolution of symptoms during performance. Diagnosis of SVPI requires examination during the action that induces VPI to allow for directed management. Treatment should be targeted based on nasopharyngoscopy findings.
['Raol|Nikhila|N|', 'Diercks|Gillian|G|', 'Hersh|Cheryl|C|', 'Hartnick|Christopher J|CJ|']
D000293:Adolescent D004724:Endoscopy D005260:Female D006801:Humans D008297:Male D009146:Music D013312:Stress, Physiological D014681:Velopharyngeal Insufficiency
Velopharyngeal incompetence VPI Speech disorder Stress VPI