The Mayo Clinic Arizona Spasmodic Dysphonia Experience: A Demographic Analysis of 718 Patients

Ann Otol Rhinol Laryngol. 2015 Nov;124(11):859-63. doi: 10.1177/0003489415588557. Epub 2015 May 29.

Abstract

Objective: Analyze demographic data collected over a 25-year experience of 718 patients with spasmodic dysphonia (SD) who have been treated with botulinum toxin-A (BoNT-A) and compare our data with previously published studies.

Methods: Seven hundred eighteen patients with SD were treated with 6621 BoNT-A injections at Mayo Clinic Arizona between 1989 and 2014. All patients were treated by the same physician team. Background demographic data for each patient were recorded.

Results: Of 718 patients, 557 patients were female (77.6%). Six hundred sixty of 718 (91.8%) patients had adductor SD (AdSD), and 58 of 718 (8.1%) patients had abductor SD (AbSD). Average age of onset was 51 years. Of 718 patients, 378 (52.6%) had vocal tremor (VT); VT was present in 54.4% of AdSD patients and 32.1% of AbSD patients. Thirty-seven of 718 (5.2%) patients had other dystonias, including cervical dystonia (2.3%), blepharospasm (1.4%), limb dystonia (1.1%), and oromandibular dystonia (0.3%). A positive family history of SD was present in only 6 of 718 patients (0.8%) and of other dystonias in 11 of 718 patients (1.5%).

Conclusions: Spasmodic dysphonia is a chronic and potentially disabling focal laryngeal dystonia. The Mayo Clinic Arizona SD experience compares to prior reports and reveals a female preponderance, onset in middle age, infrequent hereditary pattern, high co-occurrence of VT, and low co-occurrence of other dystonias.

Keywords: botulinum toxin; dysphonia; dystonia; spasmodic dysphonia; voice.

MeSH terms

  • Age of Onset
  • Arizona / epidemiology
  • Botulinum Toxins, Type A / therapeutic use*
  • Demography
  • Dysphonia* / diagnosis
  • Dysphonia* / epidemiology
  • Dysphonia* / therapy
  • Electromyography / methods
  • Electromyography / statistics & numerical data
  • Female
  • Humans
  • Laryngoscopy / methods
  • Laryngoscopy / statistics & numerical data
  • Male
  • Middle Aged
  • Neuromuscular Agents / therapeutic use
  • Outcome Assessment, Health Care
  • Retrospective Studies

Substances

  • Neuromuscular Agents
  • Botulinum Toxins, Type A