Herpes zoster oticus, caused by Varicella-Zoster virus, is one of the causes of facial palsy. The appearance of a varicelliform rash, facial palsy, and otalgia are paramount in its diagnosis. A retrospective study of 29 patients with herpes zoster oticus that received therapy at our department from July 1988 to June 1996 was carried out. The clinical symptoms, disease course, treatment and prognosis were discussed. The mean age of these patients was 50 years old. Besides, six of these patients were debilitated due to chronic systemic diseases. Otalgia and auricular vesicles were the first and second most commonly reported symptom in these patients. The seventh and eighth pairs of cranial nerve are more apt to be invaded. There was no certain sequence in the onset of vesicles and facial palsy. After the therapy with Acyclovir and steroid, most of the symptoms were ameliorated. No postherpetic neuralgia was noted during follow up. Unsatisfactorily, the recovery rate of facial palsy was only noted in half of cases presented. From this study, a poorer prognosis could be predicted when facial plasy is the first onset symptom and sign.
|Number of pages||7|
|Journal||Journal of the Otolaryngological Society of the Republic of China|
|Publication status||Published - 1997 Jan 1|
All Science Journal Classification (ASJC) codes