Management of palatal myoclonic tinnitus based on clinical characteristics: a large case series study

Jung Mee Park, Woo Jin Kim, Jae Sang Han, So Young Park, Shi Nae Park

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Palatal myoclonic tinnitus (PMT) is a rare otological condition caused by rhythmic contractions of soft palate muscles. Due to its rarity, only a few case series studies have been reported in the literature at the present time. Aims: This large case series study reviews treatment outcomes of PMT patients over the past 15 years based on clinical characteristics. Materials and methods: Between the year 2003 and 2018, 54 patients with a diagnosis of PMT were assessed. Clinical characteristics, audiological findings, psychological status, and other relevant medical history were thoroughly reviewed. Response to various treatment modalities were retrospectively analyzed. Results: The mean age of enrolled patients was 29.0 ± 16.4 years, with female gender predominance. All of the patients complained of ‘clicky’ sounding tinnitus. Twenty-nine patients had comorbid tinnitus of other type. Reassurance and behavior therapy was sufficient for young patients. Medication was effective in 44.4% of the patients. Botulinum toxin injection in the palate led to complete resolution of symptoms in a majority of intractable PMT patients. Conclusions and significance: Management of PMT should be customized according to the individual clinical characteristics of the patients. This study may provide insightful information to establish optimal treatment modalities for PMT.

Original languageEnglish
Pages (from-to)553-557
Number of pages5
JournalActa Oto-Laryngologica
Volume140
Issue number7
DOIs
StatePublished - 2 Jul 2020

Bibliographical note

Publisher Copyright:
© 2020, © 2020 Acta Oto-Laryngologica AB (Ltd).

Keywords

  • Botulinum toxin
  • diagnosis
  • myoclonus
  • Palate
  • tinnitus

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