Treatment and prognosis of facial palsy on Ramsay Hunt syndrome: Results based on a review of the literature

Rafael Da Costa Monsanto, Aline Gomes Bittencourt, Natal José Bobato Neto, Silvia Carolina Almeida Beilke, Fabio Tadeu Moura Lorenzetti, Raquel Salomone

Research output: Contribution to journalReview articlepeer-review

29 Scopus citations

Abstract

Introduction Ramsay Hunt syndrome is the second most common cause of facial palsy. Early and correct treatment should be performed to avoid complications, such as permanent facial nerve dysfunction. Objective The objective of this study is to review the prognosis of the facial palsy on Ramsay Hunt syndrome, considering the different treatments proposed in the literature. Data Synthesis We read the abstract of 78 studies; we selected 31 studies and read them in full. We selected 19 studies for appraisal. Among the 882 selected patients, 621 (70.4%) achieved a House-Brackmann score of I or II; 68% of the patients treated only with steroids achieved HB I or II, versus 70.5% when treated with steroids plus antiviral agents. Among patients with complete facial palsy (grades V or VI), 51.4% recovered to grades I or II. The rate of complete recovery varied considering the steroid associated with acyclovir: 81.3% for methylprednisolone, 69.2% for prednisone; 61.4% for prednisolone; and 76.3% for hydrocortisone. Conclusions Patients with Ramsay-hunt syndrome, when early diagnosed and treated, achieve high rates of complete recovery. The association of steroids and acyclovir is better than steroids used in monotherapy.

Original languageEnglish (US)
Pages (from-to)394-400
Number of pages7
JournalInternational Archives of Otorhinolaryngology
Volume20
Issue number4
DOIs
StatePublished - Oct 1 2016
Externally publishedYes

Bibliographical note

Publisher Copyright:
Copyright © 2016 by Thieme Publicações Ltda, Rio de Janeiro, Brazil.

Keywords

  • facial palsy
  • house-brackmann
  • prognosis
  • ramsay hunt syndrome
  • varicela zoster

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