Ramsay-Hunt syndrome is a viral disease associated with otalgia, herpetic eruptions, facial nerve palsy and cochleovestibular dysfunction, and is not frequently encountered in Otolaryngologic field.
A clinical observation was done on 18 patients with Ramsay-Hunt syndrome: 10 patients who visited Gil General Hospital from July 1987 to March 1993, and 8 patients who visited Inchon Christian Hospital from March 1989 according to medical
records.
@ES The results were as follows.
@EN 1) All patients had otalgia & herpetic eruption and fifteen patients developed facial nerve palsy.
2) On admission, the ten patients developed hearing loss and eight patients had normal hearing.
3) The most common site of lesion of facial nerve was the suprastapedial region, occuring in 8 out of 12 patients.
4) We feel the management of Ramsay-Hunt syndrome should include Zoviraxⓡ.
Nine of eighteen patients were given intravenous Zoviraxⓡ with 10mg/Kg every 8 hours over a 7-day hospitalization period.
After 6 months follow-up, six of nine patients has a House-Brackmann Grade Ⅰresult, one patient a GradeⅡ, one patient a Grade Ⅲ, and one patient received no follow-up.
Recovery of facial nerve palsy correlated with treatment by Zoviraxⓡ.
Six of nine patients had normal hearing and two had mild hearing loss.
The recovery of hearing did no correlated with Zoviraxⓡ. (Korean J Otolaryngol 38:1, 1995)
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