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The high intraoral pressures required to play wind instruments may cause a variety of otolaryngologic disorders. A 23-year-old oboe player was found to have velopharyngeal incompetence after complaining of a 6-year history of "nasal snorting" that would begin after 10 minutes of continued playing. The incompetence would only manifest itself while she played the oboe. This type of disorder could potentially ruin careers in music , because oboists are often required to play long phrases without taking a breath. With air leakage associated with an incompetent palate, the musician loses air reserves more quickly and is forced to break the musical phrase more often to take another breath. Velopharyngeal insufficiency has also been reported in a concert bassoonist who failed orchestra auditions because of a clearly audible "noise coming from her head" while playing the bassoon. Rest and palatal exercises have been used to treat stress velopharyngeal insufficiency, though surgical options can include endoscopic posterior pharyngeal augmentation with Teflon injection or a surgically created pharyngeal flap.