ENT Updates

Clinical Research

Combined treatment in Ramsay Hunt syndrome: evaluation of clinic and prognosis

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https://doi.org/10.2399/jmu.2014003005
Pınar, E., İmre, A., Olgun, Y., Ata Ece, A., Songu, M., & Aslan, H. (2014). Combined treatment in Ramsay Hunt syndrome: evaluation of clinic and prognosis. ENT Updates, 4(3). https://doi.org/10.2399/jmu.2014003005
Volume 4 Issue 3 (2014)
Copyright (c) 2014 Ercan Pınar, Abdulkadir İmre, Yüksel Olgun, Ahmet Ata Ece, Murat Songu, Hale Aslan
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors

  • Ercan Pınar
    Department of Otorhinolaryngology, Atatürk Training and Research Hospital, Izmir Katip Çelebi University, Izmir, Turkey
  • Abdulkadir İmre Department of Otorhinolaryngology, Izmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey
  • Yüksel Olgun Department of Otorhinolaryngology, Izmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey
  • Ahmet Ata Ece Department of Otorhinolaryngology, Izmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey
  • Murat Songu Department of Otorhinolaryngology, Izmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey
  • Hale Aslan Department of Otorhinolaryngology, Izmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey

Objective: We retrospectively analysed clinical characteristics, treatment and outcomes of the patients with Ramsay Hunt syndrome.

Methods: Twelve patients with Ramsay Hunt syndrome were analysed retrospectively. Data recorded included sex, age, time from first onset to initial treatment and clinical outcomes. The House-Brackmann scale was used to assess initial facial nerve dysfunction and final facial nerve impairment. All patients were treated with oral steroids and oral acyclovir.

Results: There were 7 male and 5 female patients. Mean age was 59 (range: 21 to 68) years. The main symptom was acute facial palsy. House-Brackmann classification of facial nerve function ranged from grade III to VI before treatment. The median baseline House-Brackmann grade was 4.5 and it was 2.33 after the treatment in all patients. Recovery rate of facial palsy was lower in patients with House-Brackmann grades V and VI.

Conclusion: In this syndrome, the prognosis of facial palsy depends on the initial symptoms and clinical findings. The prognosis was poorer in severe palsy and patients with comorbid disease(s).

Keywords:

Ramsay Hunt syndrome treatment prognosis