Analysis of Prognostic Factors in Bell's Palsy and Ramsay-Hunt's Syndrome.
- Author:
Dong Hee LEE
1
;
Beom Cho JUN
;
Dong Ho LEE
;
Sung Jin HONG
;
Ki Hong CHANG
;
Sang Won YEO
Author Information
1. Department of Otolaryngology-HNS, The Catholic University of Korea College of Medicine, Seoul, Korea. leedh0814@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Bell palsy;
Herpes zoster oticus;
Prognosis
- MeSH:
Acyclovir;
Bell Palsy*;
Dextrans;
Facial Nerve;
Herpes Zoster Oticus;
Humans;
Hypertension;
Prednisolone;
Prognosis;
Retrospective Studies;
Stellate Ganglion;
Vasodilator Agents;
Vertigo
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2005;48(9):1081-1085
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: We evaluated the prognostic factors in Bell's palsy and Ramsay-Hunt's syndrome. Study design: We carried out a retrospective case review in a university-based hospital. SUBJECTS AND METHOD: Treatment consisted uniformly of high-dose prednisolone, dextran, vasodilators, carbogen therapy, and stellate ganglion block. In the case of Ramsay-Hunt's syndrome, acyclovir was administered. The recovery of facial nerve function was documented according to the House-Brackmann grading system. All patients were followed up until recovery or at least up to 3 months. RESULTS: The recovery rates to achieve the House-Brackmann grade II or better were 96.3% in Bell's palsy and 84.6% in herpes zoster oticus. In herpes zoster oticus, older patients had poorer initial and final status (p=0.046, p=0.020), as well as less probability of complete recovery (p=0.025) than the younger patients. The herpes zoster oticus patients without diabetus mellitus showed more probability of recovery (p=0.018), higher degree of recovery (p=0.025), and better final status (p=0.012). Also herpes zoster oticus patients without essential hypertension had the higher degree of recovery rate (p=0.019). The herpes zoster oticus patients without vertigo showed more probability of recovery (p=0.005). CONCLUSION: No prognostic factors were found in Bell's palsy. The prognostic factors of herpes zoster oticus were age, diabetus mellitus, essential hypertension and vertigo.
