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Published on: August 24, 2017
Successful treatment of a postpolio tinnitus with type a botulinum toxin
Paolo Scolozzi1, Emmanuel Carrera, Bertrand Jaques
1Department of Otolaryngology/Head and Neck Surgery, Division of Oral and Maxillofacial Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. Paolo.Scolozzi@hospvd.ch
Objectives/Hypothesis:
Objective tinnitus is a symptom often observed in patients with chronic hyperactivity of masticatory muscles.
Methods:
We report here the unusual case of a 63-year-old woman who developed a distressing tinnitus related to contractions of reinnervated masticatory muscles. This reinnervation process was caused by a postpolio syndrome that gave rise to an acoustic resonance phenomenon transmitted to the middle ear as an audible sound.
Results:
The tinnitus was successfully treated with electromyography-guided intramuscular injections of type A botulinum toxin.
Conclusion:
The intramuscular injection of botulinum toxin was found to be effective in relieving severe and disabling postpolio tinnitus.