TREATMENT OF SPASMODIC DYSPHONIA (LARYNGEAL DYSTONIA) WITH LOCAL INJECTIONS OF BOTULINUM TOXIN

被引:16
作者
BLITZER, A
BRIN, MF
机构
[1] Department of Otolaryngology, College of Physicians and Surgeons, Columbia-Presbyterian Medical Center, New York, NY
[2] Department of Neurology, College of Physicians and Surgeons, Columbia-Presbyterian Medical Center, New York, NY
[3] Dystonia Clinical Research Center, College of Physicians and Surgeons, Columbia-Presbyterian Medical Center, New York, NY
关键词
BOTULINUM TOXIN; LARYNGEAL DYSTONIA;
D O I
10.1016/S0892-1997(05)80035-9
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
In 1984 the authors performed the first laryngeal injection of Botulinum toxin for laryngeal dystonia via percutaneous, electromyographically guided technique. Since that time we have treated 450 patients with adductor spasmodic dysphonia, abductor spasmodic dysphonia, and adductor breathing dystonia. In general, the adductor patients received bilateral injections of 1.25 U to 3.75 U, obtaining greater than 90% of normal voice. The abductor patients received unilateral or staged bilateral injections of the posterior cricoarytenoid muscles with 0.6 to 3.75 U, obtaining 70% of normal function. We have found laryngeal injections of Botulinum toxin to be safe and effective therapy for the symptoms of laryngeal dystonia (spasmodic dysphonia).
引用
收藏
页码:365 / 369
页数:5
相关论文
共 25 条
[1]  
Scott, Botulinum toxin injection of eye muscles to correct strabismus, Trans Am Ophthalmol Soc, 79, pp. 734-770, (1981)
[2]  
Fahn, Blepharospasm a form of focal dystonia, Adv Neurol, 49, pp. 125-134, (1988)
[3]  
Tsoy, Buckley, Dutton, Treatment of blepharospasm with botulinum toxin, Am J Ophthalmol, 99, pp. 176-179, (1985)
[4]  
Scott, Kennedy, Stubbs, Botulinum A toxin injection as a treatment for blepharospasm, Arch Ophthalmol, 103, pp. 347-350, (1985)
[5]  
Jankovic, Blepharospasm and oromandibular-laryngeal-cervical dystonia: a controlled trial of botulinum A toxin therapy, Adv Neurol, 50, pp. 583-591, (1988)
[6]  
Fahn, Jankovic, Practical management of dystonia, Movement disorders, 2, pp. 555-569, (1984)
[7]  
Brin, Fahn, Moskowitz, Et al., Localized injections of botulinum toxin for the treatment of focal dystonia and hemifacial spasm, Mov Disord, 2, pp. 237-254, (1987)
[8]  
Tsui, Eisen, Stoessl, Calne, Calne, Doubleblind study of botulinum toxin in spasmodic torticollis, Lancet, 2, pp. 245-247, (1986)
[9]  
Tsui, Calne, Botulinum toxin in cervical dystonia, Adv Neurol, 49, pp. 473-478, (1988)
[10]  
Gelb, Lowenstein, Aminoff, Controlled trial of botulinum toxin injections in the treatment of spasmodic torticollis, Neurology, 39, pp. 80-84, (1989)