应用肉毒毒素A治疗腭肌阵挛性耳鸣临床分析

The Use of Botulinum Toxin A in the Treatment of Palatal Myoclonus Tinnitus

刘军;王洪田;韩冰;孙京力;王国建;武文明;韩东一;杨伟炎;

1:解放军总医院耳鼻咽喉-头颈外科、耳鼻咽喉科研究所

2:解放军总医院耳鼻咽喉-头颈外科、耳鼻咽喉科研究所

3:解放军总医院耳鼻咽喉-头颈外科、耳鼻咽喉科研究所

4:解放军总医院耳鼻咽喉-头颈外科、耳鼻咽喉科研究所

摘要
目的探讨肉毒毒素A对腭肌阵挛源性耳鸣的治疗作用。方法在鼻内窥镜下,将20U肉毒毒素A注射到4例腭肌阵挛性耳鸣患者患侧腭部肌肉内(腭帆张肌、腭帆提肌等),观察患者耳鸣的变化以及是否有并发症出现。同时回顾相关文献,对该病的病因、诊断及治疗加以分析。结果用药后第三天,患者腭部肌肉阵挛和耳鸣均消失,疗效持续约3个月。耳鸣消失的同时出现轻度鼻咽部返流或发声困难,约一周后逐渐消失。结论阵挛的腭部肌肉内注射肉毒毒素A是治疗腭肌阵挛性耳鸣的有效方法。
关键词
肉毒毒素A;肌阵挛;耳鸣;腭
基金项目(Foundation):
作者
刘军;王洪田;韩冰;孙京力;王国建;武文明;韩东一;杨伟炎;
参考文献

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