A Novel Technique for the Diagnosis and Management of Middle Ear Myoclonus
A novel technique for the diagnosis and management of middle ear myoclonus is described. A patient with middle ear myoclonus underwent a trans‐canal microscopic middle ear exploration with injection of botulinum toxin into the stapedius and tensor tympani muscles. Postoperatively, the patient noted...
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Veröffentlicht in: | The Laryngoscope 2021-01, Vol.131 (1), p.E248-E249 |
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description | A novel technique for the diagnosis and management of middle ear myoclonus is described. A patient with middle ear myoclonus underwent a trans‐canal microscopic middle ear exploration with injection of botulinum toxin into the stapedius and tensor tympani muscles. Postoperatively, the patient noted complete resolution of symptoms. This is the first report of the use of botulinum toxin directly applied to the middle ear musculature via a trans‐canal approach for the management of middle ear myoclonus. This approach is both a useful diagnostic and therapeutic tool that allows for temporary muscle paralysis prior to offering definitive surgical management. Laryngoscope, 131:E248–E249, 2021 |
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A patient with middle ear myoclonus underwent a trans‐canal microscopic middle ear exploration with injection of botulinum toxin into the stapedius and tensor tympani muscles. Postoperatively, the patient noted complete resolution of symptoms. This is the first report of the use of botulinum toxin directly applied to the middle ear musculature via a trans‐canal approach for the management of middle ear myoclonus. This approach is both a useful diagnostic and therapeutic tool that allows for temporary muscle paralysis prior to offering definitive surgical management. 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A patient with middle ear myoclonus underwent a trans‐canal microscopic middle ear exploration with injection of botulinum toxin into the stapedius and tensor tympani muscles. Postoperatively, the patient noted complete resolution of symptoms. This is the first report of the use of botulinum toxin directly applied to the middle ear musculature via a trans‐canal approach for the management of middle ear myoclonus. This approach is both a useful diagnostic and therapeutic tool that allows for temporary muscle paralysis prior to offering definitive surgical management. Laryngoscope, 131:E248–E249, 2021</description><subject>Acetylcholine Release Inhibitors - administration & dosage</subject><subject>Adult</subject><subject>botulinum toxin</subject><subject>Botulinum Toxins - administration & dosage</subject><subject>Ear, Middle</subject><subject>Humans</subject><subject>Injection, Intratympanic</subject><subject>Male</subject><subject>Middle ear myoclonus</subject><subject>Myoclonus - diagnosis</subject><subject>Myoclonus - drug therapy</subject><subject>stapedial myoclonus</subject><subject>Tensor Tympani</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtPAjEURhujEUQ3_gDTtcngbS-10yVBfAU0MZjoalLaOzBmHjgFDf_ewVGXrr7Fd3IWh7FTAX0BIC9yW2_7Mlba7LGuUCiigTFqn3WbE6NYyZcOOwrhDUBoVHDIOihBaSFkl90P-UP1QTmfkVuW2fuGeFrVfL0kfpXZRVmFLHBbej61pV1QQeWaVymfZt7nxMe25tNt5fKq3IRjdpDaPNDJz_bY8_V4NrqNJo83d6PhJHIojYnQaZUqqdErJdHEAjwhgNZzTdKgI6MFOQEOtdY4MB48Wj1Aq2wM88sYe-y89bq6CqGmNFnVWdE0SAQkuyDJLkjyHaSBz1p4tZkX5P_Q3wINIFrgM8tp-48qmQyfXlvpF96labE</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Hutz, Michael J.</creator><creator>Aasen, Margaret H.</creator><creator>Kircher, Matthew</creator><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0003-2921-6967</orcidid></search><sort><creationdate>202101</creationdate><title>A Novel Technique for the Diagnosis and Management of Middle Ear Myoclonus</title><author>Hutz, Michael J. ; Aasen, Margaret H. ; Kircher, Matthew</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3299-3c75f5273d55239810de30077b7e293ce971ec10c3777349d0d3a743a5a80b683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acetylcholine Release Inhibitors - administration & dosage</topic><topic>Adult</topic><topic>botulinum toxin</topic><topic>Botulinum Toxins - administration & dosage</topic><topic>Ear, Middle</topic><topic>Humans</topic><topic>Injection, Intratympanic</topic><topic>Male</topic><topic>Middle ear myoclonus</topic><topic>Myoclonus - diagnosis</topic><topic>Myoclonus - drug therapy</topic><topic>stapedial myoclonus</topic><topic>Tensor Tympani</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hutz, Michael J.</creatorcontrib><creatorcontrib>Aasen, Margaret H.</creatorcontrib><creatorcontrib>Kircher, Matthew</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hutz, Michael J.</au><au>Aasen, Margaret H.</au><au>Kircher, Matthew</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Novel Technique for the Diagnosis and Management of Middle Ear Myoclonus</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2021-01</date><risdate>2021</risdate><volume>131</volume><issue>1</issue><spage>E248</spage><epage>E249</epage><pages>E248-E249</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>A novel technique for the diagnosis and management of middle ear myoclonus is described. A patient with middle ear myoclonus underwent a trans‐canal microscopic middle ear exploration with injection of botulinum toxin into the stapedius and tensor tympani muscles. Postoperatively, the patient noted complete resolution of symptoms. This is the first report of the use of botulinum toxin directly applied to the middle ear musculature via a trans‐canal approach for the management of middle ear myoclonus. This approach is both a useful diagnostic and therapeutic tool that allows for temporary muscle paralysis prior to offering definitive surgical management. Laryngoscope, 131:E248–E249, 2021</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>32057112</pmid><doi>10.1002/lary.28579</doi><tpages>2</tpages><orcidid>https://orcid.org/0000-0003-2921-6967</orcidid></addata></record> |
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subjects | Acetylcholine Release Inhibitors - administration & dosage Adult botulinum toxin Botulinum Toxins - administration & dosage Ear, Middle Humans Injection, Intratympanic Male Middle ear myoclonus Myoclonus - diagnosis Myoclonus - drug therapy stapedial myoclonus Tensor Tympani |
title | A Novel Technique for the Diagnosis and Management of Middle Ear Myoclonus |
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