POINT-TOUCH TECHNIQUE OF BOTULINUM TOXIN INJECTION FOR THE TREATMENT OF SPASMODIC DYSPHONIA

被引:43
作者
GREEN, DC
WARD, PH
BERKE, GS
GERRATT, BR
机构
[1] UNIV CALIF LOS ANGELES,DIV HEAD & NECK SURG,10833 LE CONTE AVE,LOS ANGELES,CA 90024
[2] VET ADM MED CTR,LOS ANGELES,CA
关键词
BOTULINUM INJECTION; LARYNGEAL DYSTONIA; SPASTIC DYSPHONIA;
D O I
10.1177/000348949210101101
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Intralaryngeal injections of botulinum toxin (Botox), under electromyographic guidance, have emerged as an effective treatment for adductor spasmodic dysphonia. To remain effective, these injections must be repeated every 3 to 9 months as the symptoms recur. One drawback to the current method is the need for electromyographic confirmation of needle placement into the thyroarytenoid muscle. This report describes an anatomic approach to Botox injection that requires only flexible nasopharyngeal endoscopy and careful evaluation of the anatomic landmarks. This technique has been used successfully on 13 patients, and objective pretreatment and posttreatment measures are reported.
引用
收藏
页码:883 / 887
页数:5
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