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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1996;39(2): 217-22. |
Analysis of the Prognostic Factors of Ramsay-Hunt Syndrome |
Moo Jin Choo, MD, Seung Deok Yang, MD, See Ok Shin, MD, and Young Seok Choi, MD |
Department of Otolaryngology, College of Medicine, Chungbuk National University, Cheongju, Korea |
Ramsay-Hunt 증후군의 예후인자에 대한 분석 |
추무진 · 양승덕 · 신시옥 · 최영석 |
충북대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
This retrospective study was conducted to observe the clinical manifestations 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 Otolaryngolgogy in
Chungbuk National University Hospital from 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 I and II) was 70%. A result of electroneuronography during the admission was only statistically significant prognostic factor among the six parameters. There were no statistical 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.
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Keywords:
Ramsay-Hunt syndromeㆍFacial nerve paralysisㆍRecovery rateㆍPrognostic factor. |
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