부산대학교 도서관

We report the case of a 19-year-old man, an aspiring professional clarinet player, who presented to our clinic with a 1-year history of nasal air escape while he played his instrument. Flexible fiberoptic transnasal endoscopic examination revealed escape of nasal air from the left side of his adenoid bulge when he puffed out his cheeks. Therefore, lipoinjection augmentation of the pharyngeal posterior wall was performed under general anesthesia. There were no postoperative complications. Complete resolution of his symptoms and an increase in clarinet practice time were observed at the follow-up examination performed 1 year postoperatively. Thus, rhinopharyngeal autologous fat injection appears to be an effective treatment for patients with stress velopharyngeal insufficiency/incompetence (SVPI).