Ramsay Hunt syndrome : characteristics and patient self-assessed long-term facial palsy outcome

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dc.contributor University of Helsinki, Korva-, nenä- ja kurkkutautien klinikka en
dc.contributor University of Helsinki, HUS Head and Neck Center en
dc.contributor.author Kanerva, Mervi
dc.contributor.author Jones, Sanna
dc.contributor.author Pitkäranta, Anne
dc.date.accessioned 2020-04-14T11:12:01Z
dc.date.available 2020-04-14T11:12:01Z
dc.date.issued 2020-04
dc.identifier.citation Kanerva , M , Jones , S & Pitkäranta , A 2020 , ' Ramsay Hunt syndrome : characteristics and patient self-assessed long-term facial palsy outcome ' , European Archives of Oto-Rhino-Laryngology , vol. 277 , no. 4 , pp. 1235-1245 . https://doi.org/10.1007/s00405-020-05817-y en
dc.identifier.issn 0937-4477
dc.identifier.other PURE: 135354434
dc.identifier.other PURE UUID: 073ab9c9-6aa0-4921-a3b8-06c379d94775
dc.identifier.other WOS: 000519532600036
dc.identifier.uri http://hdl.handle.net/10138/313981
dc.description.abstract Purpose To explore the characteristics, medical treatments, and long-term facial palsy outcome in Ramsay Hunt syndrome. Methods Patient questionnaire including self-assessment of long-term facial palsy outcome and retrospective chart review. Initial facial palsy grade was compared to self-assessed or patient record stated palsy outcome. Occurrence of different characteristics (blisters, hearing loss, vertigo, etc.) of the syndrome were assessed. Results Altogether 120 patients were included of which 81 answered the questionnaire. All but one patient had received virus medication (aciclovir, valaciclovir), and half received simultaneous corticosteroids. If the medication was started within 72 h of Ramsay Hunt diagnosis, facial palsy recovered totally or with only slight sequelae in over 80% of the patients. Only a minority of the patients experienced varicella blisters simultaneously with facial palsy, blisters more often preceded or followed the palsy. Approximately 20% of the patients had their blisters in hidden places in the ear canal or mouth. Conclusions The long-term outcome of facial palsy in medically treated Ramsay Hunt syndrome was approaching the outcome of Bell's palsy. It is crucial to ask and inform the patient about the blisters and look for them since, more often than not, the blisters precede or follow the palsy and can be in areas not easily seen. en
dc.format.extent 11
dc.language.iso eng
dc.relation.ispartof European Archives of Oto-Rhino-Laryngology
dc.rights en
dc.subject Herpes zoster oticus en
dc.subject Facial paralysis en
dc.subject Varicella-Zoster virus en
dc.subject House-Brackmann en
dc.subject Sunnybrook en
dc.subject Facial grading en
dc.subject Facial sequelae en
dc.subject ACYCLOVIR en
dc.subject MANIFESTATIONS en
dc.subject PARALYSIS en
dc.subject THERAPY en
dc.subject 3125 Otorhinolaryngology, ophthalmology en
dc.title Ramsay Hunt syndrome : characteristics and patient self-assessed long-term facial palsy outcome en
dc.type Article
dc.description.version Peer reviewed
dc.identifier.doi https://doi.org/10.1007/s00405-020-05817-y
dc.type.uri info:eu-repo/semantics/other
dc.type.uri info:eu-repo/semantics/publishedVersion
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