Spasmodic dysphonia (SD) is a type of neurologic disorder called a dystonia. The basic problem in SD is that the muscles of the larynx contract too strongly during speech. The muscles themselves are normal, but their neurological control is abnormal.

Botulinum toxin injection remains the first treatment option in spasmodic dysphonia. There are different manufacturers of the botulinum toxin A but the chemical nature is the same. The commonly used ones are Botox, dysport and Xeomin. Botox minimizes the symptoms of SD when injected into muscles of the larynx. The botulinum toxin injections needs to be repeated every three months as the effects wear off.

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