What dose of botulinum toxin should I receive?
There is no standard Botulinum toxin dose. The dose for each patient with SD has to be customized for the patient due to the severity of his or her SD, the patient’s voice demands and response to Botulinum toxin. The most common doses range from 1.0 to 2.5 units placed in the right and left vocal fold muscles for the treatment of AdSD. The range for a unilateral injection for AdSD is typically from 2.5 to 10 units. Should I be receiving unilateral or bilateral Botulinum toxin injections for my SD? Once again, there is no standard rules for injecting Botulinum toxin regarding dose or number of locations. Most commonly, bilateral injections are done for adductor spasmodic dysphonia. This is based on the notion that the disorder is bilateral and symmetric. However, in certain patients a unilateral injection may be preferable to minimize side effects. For AbSD, it is typical to inject either one side only or one side with a large dose and the other side a small dose. The patient will then
