The use of botulinum toxin in the treatment of adductor spasmodic dysphonia.

Whurr, R; Lorch, M; Fontana, H; Brookes, G; Lees, A; Marsden, C D · J Neurol Neurosurg Psychiatry · 1993

case_series · Level IV

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Abstract

Botulinum toxin injections have been used to treat 31 patients with adductor spasmodic dysphonia. Injections of 3.00-3.75 units of botulinum toxin were performed bilaterally into the thyroarytenoid muscle. This treatment significantly decreased the standard deviation of the fundamental frequency of the speech sample, indicating a reduction in the variability of pitch amongst patients. A total of 96% of patients' subjective diary reports showed an improvement with a median of 7 days to peak effect and a 5 week duration of peak effect.

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