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
Hauptverfasser: Hutz, Michael J., Aasen, Margaret H., Kircher, Matthew
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Aasen, Margaret H.
Kircher, Matthew
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
doi_str_mv 10.1002/lary.28579
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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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