{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:10:37Z","timestamp":1787019037107,"version":"build-2736575974"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,12,14]],"date-time":"2017-12-14T00:00:00Z","timestamp":1513209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1177\/1055665617732788","type":"journal-article","created":{"date-parts":[[2018,3,19]],"date-time":"2018-03-19T19:05:55Z","timestamp":1521486355000},"page":"615-618","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Treatment of Stress Velopharyngeal Incompetence With Injection of Hyaluronic Acid"],"prefix":"10.1177","volume":"55","author":[{"given":"Steven","family":"Koprowski","sequence":"first","affiliation":[{"name":"Medical College of Wisconsin, Milwaukee, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"VanLue","sequence":"additional","affiliation":[{"name":"Speech and Language Pathology Craniofacial Program, Masters Family Speech &amp; Hearing Center, Children\u2019s Hospital of Wisconsin, Milwaukee, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael E.","family":"McCormick","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,12,14]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26227"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949510400909"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcmed.2005.09.015"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197964050-00010"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549507.2013.808701"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410300803"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200112000-00015"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2014.12.036"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811434004"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1597\/06-176.1"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2015.10.013"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2011.11.007"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e328316bd68"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-014-3141-7"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.21091\/mppa.2004.1004"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2011.11.049"},{"key":"e_1_3_2_18_1","first-page":"858","article-title":"Stress velopharyngeal incompetence in an oboe player","volume":"7","author":"Weber J","year":"1970","unstructured":"Weber JJr, Chase RA. 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