Herpes zoster oticus is a symptom complex of radicular neuralgia and vesticular eruption around the ear with a facial palsy and synonymous with Ramsay-Hunt's syndrome, herpes oticus, cephalic zoster, geniculate ganglion syndrome, geniculate neuralgia. There is no agreement about the management of this disease. Authors experienced 2 cases of herpes zoster oticus during last few months. Patients were a man 48, and a man 54 and complainged of otalgia, vertigo, facial palsy with vesicular eruption on auricle and external auditory meatus. Two patients were treated with high doses of steroid, physical therapy, systemic nutritional therapy and symptomatic therapy, and much improved. Exact effectiveness of these medical management and surgical decompression should further be evaluated in large series of cases, but we feel the management should include high doses of steroid in acute phase as well as appropriated symptomatic therapy. We report this rare and interest cases with a review of literatures.