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KMID : 0361019950380081189
Korean Journal of Otolaryngology - Head and Neck Surgery
1995 Volume.38 No. 8 p.1189 ~ p.1194
A Clinical Analysis and Study for the Effectiveness of Acyclovir on Herpes Zoster Oticus
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Abstract
Herpes zoster oticus is characterized by a viral prodrome with otalgia, vesicles and peripheral type of facial palsy. Facial palsy is the most serious problem. The hearing impairment is sudden, unexpected and seldom returns to normal if it is
seriously
affected. Previously high dose of steroid was usually recommended for treatment of this syndrome but recently Acyclovir has been recognized to prevent replication of Varicella zoster.
We reviewed 13 patients with Herpes zoster oticus from April 1990 to December 1993 for analysis of clinical features and effectiveness of Acyclovir.
@ES The results were following:
@EN 1) The complete recovery rate of facial palsy was 53.9%.
2) The statistically acceptable prognostic factors of facial nerve palsy were age, multiple cranial nerve involvement, NET (Nerve excitability test) and Schirmer's test.
3) The hearing disability showed better prognosis in speech range than in high frequency. (Korean J Otolaryngol 38:8, 1995)
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