Botulinum toxin treatment of essential palatal myoclonus tinnitus.
OBJECTIVE
The purpose of this study was to review the use of botulinum toxin in the treatment of essential palatal myoclonus tinnitus.


METHODS
Two case series.


METHODS
Four to 10 units of botulium toxin are injected into the tensor veli palatini muscle. The dose and interval between doses is titrated according to patient symptoms. With bilateral symptoms, injection is alternated between sides at sequential visits.


METHODS
Relief of tinnitus with cessation of palatal contractions.


RESULTS
Both patients had relief of tinnitus. One patient required ventilation tube placement to relieve aural fullness.


CONCLUSIONS
Tensor veli palatini botulinium toxin injection is an effective treatment for essential palatal myoclonus tinnitus.
Division of Otolaryngology, University of British Columbia, Vancouver.
G E
GE
Bryce
M D
MD
Morrison
D000328:Adult; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular; D009207:Myoclonus / Q000150:complications / Q000188:drug therapy*; D010156:Palatal Muscles; D014012:Tinnitus / Q000188:drug therapy* / Q000209:etiology
D019274:Botulinum Toxins, Type A