{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:43:24Z","timestamp":1777427004270,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,1,6]],"date-time":"2020-01-06T00:00:00Z","timestamp":1578268800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To present a unique approach to the treatment of motor and phonic tics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient:<\/jats:title>\n                    <jats:p>A 26-year-old male presented with motor and phonic tics including grunting, coughing, and throat clearing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>The patient was treated with 2.5 units of onabotulinum toxin A (BoNT) to the facial mimetic musculature and 2.5 units to each supraglottic musculature via a transthyrohyoid membrane approach under fiberoptic visualization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The patient experienced reduction in the frequency, intensity, and interference with daily life of motor and phonic tics on the Yale Global Tic Severity Scale (YGTSS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This patient experienced subjective and objective decreases in tic severity using a unique approach in the treatment of phonic tics. Results suggest a novel approach in the treatment of phonic tics and bolster the data regarding safe and effective use of BoNT for tic disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence:<\/jats:title>\n                    <jats:p>Level V, case report.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489419898211","type":"journal-article","created":{"date-parts":[[2020,1,7]],"date-time":"2020-01-07T01:48:13Z","timestamp":1578361693000},"page":"625-627","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Botulinum Toxin for the Treatment of Motor and Phonic Tics: A Case Report"],"prefix":"10.1177","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7096-4484","authenticated-orcid":false,"given":"Nikita","family":"Kohli","sequence":"first","affiliation":[{"name":"New York Center for Voice and Swallowing Disorders New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Blitzer","sequence":"additional","affiliation":[{"name":"New York Center for Voice and Swallowing Disorders New York, NY, USA"},{"name":"Department of Otolaryngology Head & Neck Surgery, Columbia University College of Physicians & Surgeons, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,1,6]]},"reference":[{"key":"bibr1-0003489419898211","doi-asserted-by":"publisher","DOI":"10.1002\/mds.23088"},{"key":"bibr2-0003489419898211","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-003-0201-4"},{"key":"bibr3-0003489419898211","doi-asserted-by":"publisher","DOI":"10.1002\/mds.27457"},{"key":"bibr4-0003489419898211","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.56.5.605"},{"key":"bibr5-0003489419898211","first-page":"CD012285","volume":"1","author":"Pandey S","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr6-0003489419898211","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318124a97b"},{"key":"bibr7-0003489419898211","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-198907000-00015"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489419898211","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003489419898211","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489419898211","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:33:09Z","timestamp":1777375989000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0003489419898211"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,6]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1177\/0003489419898211"],"URL":"https:\/\/doi.org\/10.1177\/0003489419898211","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,6]]}}}