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A Novel Technique for the Diagnosis and Management of Middle Ear Myoclonus
Author(s) -
Hutz Michael J.,
Aasen Margaret H.,
Kircher Matthew
Publication year - 2021
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.28579
Subject(s) - medicine , middle ear , myoclonus , cholesteatoma , ear canal , paralysis , botulinum toxin , surgery , anesthesia , radiology
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