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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 39(2); 1996 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1996;39(2): 217-22.
Analysis of the Prognostic Factors of Ramsay-Hunt Syndrome
Moo Jin Choo, MD, Seung Deok Yang, MD, See Ok Shin, MD, and Young Seok Choi, MD
Department of Otolaryngology, College of Medicine, Chungbuk National University, Cheongju, Korea
Ramsay-Hunt 증후군의 예후인자에 대한 분석
추무진 · 양승덕 · 신시옥 · 최영석
충북대학교 의과대학 이비인후과학교실
ABSTRACT

This retrospective study was conducted to observe the clinical manifestations and to assess the recovery results in 12 patients (male 8 ; female 4) with Ramsay-Hunt syndrome who was admitted and treated at the Department of Otolaryngolgogy in Chungbuk National University Hospital from May 1992 to August 1994. Range of follow-up period was from 12 months to 27 months. All patients were treated with steroid and acyclovir, but a patient of facial nerve decompression and a patient without facial nerve palsy were excluded in statistical analysis. A statistical correlation of results with six parameters-age, degree of paralysis on admission, duration from onset of facial nerve paralysis to treatment, onset of vesicular eruption, inner ear symptom and result of electroneuronography-were analyzed. Complete recovery rate (House-Brackmann Grade I) was 50% and the satisfactory recovery rate (House-Brackmann Grade I and II) was 70%. A result of electroneuronography during the admission was only statistically significant prognostic factor among the six parameters. There were no statistical correlations between recovery and other parameters. This suggested that the case with degeneration over 90% on electroneuronography during the admission should be considered the facial nerve decompression therapy with steroid and acyclovir treatment.

Keywords: Ramsay-Hunt syndromeFacial nerve paralysisRecovery ratePrognostic factor.
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