Novel Ultrasound Examination and Guided Intervention of Peri-Oral Musculature and Fascia in Wind Players with Embouchure Problems: Technical Note

Daniel Chiung-Jui Su, Mei-Chen Yeh and King Hei Stanley Lam

Diagnostics 2025, 15, 514

Abstract

Background: Embouchure problems in wind players can severely affect musical performance. The complexity of the embouchure involves peri-oral musculature, which is essential for controlling airflow and tone production but is prone to injuries from overuse or misuse. The current literature lacks guidance on utilizing ultrasound for diagnosing embouchure-related injuries.

Methods: This technical note presents a scanning method for wind players that presented with embouchure problems, with common pathological sonographic findings and ultrasound-guided interventions.

Results: A comprehensive overview of the sonoanatomy of the peri-oral musculature relevant to the embouchure and a scanning protocol for the embouchure in wind players are described. This technical note also highlights common pathological sonographic findings associated with embouchure problems and describes ultrasound-guided interventions addressing these issues.

Conclusions: This technical note emphasizes the potential of ultrasound in diagnosing and treating embouchure problems, contributing to effective therapeutic strategies for wind players.

Keywords: embouchure dysfunction; wind player; ultrasound; peri-oral musculature; fascia; sonoanatomy; ultrasound-guided intervention

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