Patient Experience Contributing to Outcomes of Laryngeal Botulinum Toxin Injection

Amy Rutt, Kathleen D. Kennelly, Jhon F. Martinez-Paredes

Research output: Contribution to journalArticlepeer-review


Objectives: Laryngeal Botulinum Toxin injection (LBTX) in the adductor musculature is the current therapy for Adductor Spasmodic Dysphonia. This study explores nonbiological factors that can affect the patient experience during this procedure and their association with better or worse self-reported effectiveness. Methods: A 14 item survey was used to evaluate the patient experience in patients who had undergone LBTX in Mayo Clinic Jacksonville, Florida, during 2019. Information from the survey, previous medical history, and demographic data were collected, and a descriptive analysis was performed. Results: Of the 36 patients who participated, the mean age was 65 years and a female predominance was found (66%). The average age at onset of symptoms was 57 years, and voice tremor was associated with 36.1% of patients. Preprocedure education was recognized as a factor affecting outcomes in 87% of patients; 11 patients reported that body position used during the injection could affect the results. Pain or stress experienced at the time of procedure was referred in one-third of patients as an influencing factor too. Conclusion: This study has shown that nonpharmacological factors such as education before the procedure, body position, pain, and stress sensation before LBTX may have a role in the botulinum toxin effect on Adductor Spasmodic Dysphonia patients. This study is the first to describe these variables qualitatively, and further studies may help to improve the patient experience and outcome of LBTX around the world.

Original languageEnglish (US)
Pages (from-to)272-276
Number of pages5
JournalJournal of Voice
Issue number2
StatePublished - Mar 2022


  • Botulinum toxin
  • Laryngeal Dystonia
  • Patient experience
  • Spasmodic Dysphonia
  • Voice disorder

ASJC Scopus subject areas

  • Otorhinolaryngology
  • LPN and LVN
  • Speech and Hearing


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