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.