Botulinum toxin treatment of essential palatal myoclonus tinnitus.

OBJECTIVE

The purpose of this study was to review the use of botulinum toxin in the treatment of essential palatal myoclonus tinnitus.

DESIGN

Two case series.

METHOD

Four to 10 units of botulium toxin are injected into the tensor veli palatini muscle. The dose and interval between doses is titrated according to patient symptoms. With bilateral symptoms, injection is alternated between sides at sequential visits.

OUTCOME MEASURES

Relief of tinnitus with cessation of palatal contractions.

RESULTS

Both patients had relief of tinnitus. One patient required ventilation tube placement to relieve aural fullness.

CONCLUSIONS

Tensor veli palatini botulinium toxin injection is an effective treatment for essential palatal myoclonus tinnitus.