Botulinum Toxin for the Treatment of Motor and Phonic Tics: A Case Report

被引:0
作者
Kohli, Nikita [1 ]
Blitzer, Andrew [1 ,2 ]
机构
[1] New York Ctr Voice & Swallowing Disorders, 425 W 59th St,10th Fl, New York, NY 10019 USA
[2] Columbia Univ Coll Phys & Surg, Dept Otolaryngol Head & Neck Surg, 630 W 168th St, New York, NY 10032 USA
关键词
laryngology; neurolaryngology; botulinum toxin; tic; Tourette's;
D O I
10.1177/0003489419898211
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective: To present a unique approach to the treatment of motor and phonic tics. Patient: A 26-year-old male presented with motor and phonic tics including grunting, coughing, and throat clearing. Intervention: The patient was treated with 2.5 units of onabotulinum toxin A (BoNT) to the facial mimetic musculature and 2.5 units to each supraglottic musculature via a transthyrohyoid membrane approach under fiberoptic visualization. Results: The patient experienced reduction in the frequency, intensity, and interference with daily life of motor and phonic tics on the Yale Global Tic Severity Scale (YGTSS). Conclusion: This patient experienced subjective and objective decreases in tic severity using a unique approach in the treatment of phonic tics. Results suggest a novel approach in the treatment of phonic tics and bolster the data regarding safe and effective use of BoNT for tic disorder.
引用
收藏
页码:625 / 627
页数:3
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