ACUFENOS-Seccíon Tecnicas de tratamiento

Botox transient treatment of tinnitus due to stapedius myoclonus: Case report

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Hai-Bin Liu^a, Jing-Ping Fan^a, Shun-Zhang Lin^{, a,} , Shu-Wei Zhao^{, a,} and Zheng Lin^a

^a Department of Otolaryngology-Head & Neck Surgery, ChangZheng Hospital, Second Military Medical University, Fengyang Road 415, Huangpu District, Shanghai, China

Received 21 October 2009; 

revised 23 July 2010; 

accepted 31 July 2010. 

Available online 25 August 2010.

Abstract

Object

To explore the feasibility of using botulinum toxin type A (BTXA) to treat tinnitus due to stapedius myoclonus.

Method

A piece of gelfoam containing BTXA (25 U/ml) was placed, through a perforation in tympanic membrane, into the middle ear cavity of a patient suffering from tinnitus due to stapedius myoclonus.

Results

The tinnitus disappeared on the second day after the BTXA treatment. The patient was free of symptoms during a 3-month follow-up period. Tinnitus reappeared at 4 months, and disappeared after second BTXA local treatment.

Conclusion

Local BTXA treatment may be considered as a treatment for tinnitus caused by stapedius myoclonus.

Keywords: Botulinum toxin type A; Tinnitus; Stapedius myoclonus

Corresponding authors. Tel.: +86 021 81885962; fax: +86 021 63520020.

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Fuente: Clinical Neurology and Neurosurgery, Volume 113, Issue 1, January 2011, Pages 57-58