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KMID : 0361020220650050260
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Korean Journal of Otolaryngology - Head and Neck Surgery
2022 Volume.65 No. 5 p.260 ~ p.267
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A Study of Otologic Symptoms and Prognosis in Patients With Ramasay Hunt Syndrome and Bell's Palsy
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Choi Soo-Young
Oh Tong-In
Lee Eun-Hye
Lee Jae-Min
Choi Gang-Won
Lee Hyun-Ji
Kim Sang-Hoon
Yeo Seung-Geun
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Abstract
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Background and Objectives : Although several studies have compared the characteristics of Ramsay Hunt syndrome (RHS) with Bell’s palsy (BP), the differences in comorbid symp- toms and prognosis according to symptoms have not been determined. This study therefore evaluated the differences in otologic symptoms and prognosis between patients with these two conditions.
Subjects and Method : The medical records of 118 patients with RHS and 215 patients with BP were retrospectively reviewed. Factors compared in these two groups included otologic symptoms, general health condition, electroneurography (ENoG) and House-Brackmann grades.
Results : Age, sex, body mass index, lipid profiles, ENoG, rate of diabetes, and side of palsy did not differ significantly between patients with RHS and BP (p>0.05). The rates of hearing disturbance, tinnitus, vertigo, and postauricular pain were significantly higher in RHS (p<0.05 each). Hearing disturbance was more frequent in patients with severe Bell’s facial palsy than with moderate Bell’s facial palsy (p<0.05). The prognosis of patients with BP and RHS who had otologic symptoms did not differ from those who had not (p>0.05). Additionally, in patients with facial paralysis, diabetes was associated with hearing disturbance and vertigo symptoms and dyslipidemia was associated with postauricular pain (p<0.05 each).
Conclusion : Otologic symptoms were more common in RHS than in BP. However, the prognosis of RHS and BP were not related to otologic symptoms. In patients with facial palsy hearing disturbance and vertigo were associated with diabetes and hypertension. Also, dyslipidemia was associated with post auricular pain.
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KEYWORD
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Bell palsy, Prognosis, Ramsay Hunt syndrome
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