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Palatal botulinum toxin as a novel therapy for objective tinnitus in forced eyelid closure syndrome

Thomas M Kaffenberger1, Rajarsi Mandal2, Barry M Schaitkin3

  • 1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A.

The Laryngoscope
|October 8, 2016
PubMed

Insights

Forced eyelid closure syndrome (FECS) causes objective tinnitus. Intrapalatal botulinum toxin successfully treated a patient with FECS, resolving tinnitus symptoms.

Area of Science:

  • Neurology
  • Otolaryngology
  • Ophthalmology

Background:

  • Objective tinnitus linked to eyelid closure is rare, previously termed forced eyelid closure syndrome (FECS).
  • FECS involves aberrant neural reflexes between cranial nerves VII and V.

Observation:

  • A 52-year-old female presented with a 2-month history of FECS.
  • Symptoms included objective tinnitus associated with eyelid closure.

Findings:

  • The patient received intrapalatal botulinum toxin treatment.
  • This intervention resulted in the full resolution of objective tinnitus symptoms.

Implications:

  • This case represents the first reported use of botulinum toxin for FECS.
  • Botulinum toxin may be a viable treatment option for objective tinnitus in FECS.
Keywords:
FECSbotulinum toxinobjective tinnituspalatal tinnitus

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