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KMID : 0361019960390020217
Korean Journal of Otolaryngology - Head and Neck Surgery
1996 Volume.39 No. 2 p.217 ~ p.222
Analysis of the Prognostic Factors of Ramsay-Hunt Syndrome




Abstract
This retrospective study was conducted to observe the clinical manifestation 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 Otolaryngology in
Chungbuk
National University Hospital form 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 ¥°and¥±) was 70%. A result of electroneuronography during the admission was only
statistically
significant prognostic factor among the six parameters. There were no stastistical 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. (Korean J Otolaryngol 39 : 2, 1996)
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