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Erschienen in: European Archives of Oto-Rhino-Laryngology 4/2019

01.02.2019 | Otology

Comparative prognosis in patients with Ramsay-Hunt syndrome and Bell’s palsy

verfasst von: Seok Hyun Kim, Junyang Jung, Su Young Jung, Sung Hwa Dong, Jae Yong Byun, Moon Suh Park, Sang Hoon Kim, Seung Geun Yeo

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 4/2019

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Abstract

Purpose

Patients with Ramsay-Hunt syndrome have a poorer prognosis than patients with Bell’s palsy. Factors of metabolic syndrome affecting prognosis were therefore compared between patients with Ramsay-Hunt syndrome and those with Bell’s palsy.

Methods

This retrospective study included 106 with Ramsay-Hunt syndrome and 182 with Bell’s palsy. Age, sex, body mass index, blood pressure, blood test results, and ENoG results, stratified by House–Brackmann grade, were compared in patients with Ramsay-Hunt syndrome and Bell’s palsy. Both groups of patients were treated with steroids and the antiviral agent famciclovir.

Results

Age, sex, body mass index, dyslipidemia, triglyceride, diabetes, hypertension, and onset of palsy did not differ in patients with Ramsay-Hunt syndrome and Bell’s palsy. Rates of favorable recovery in patients with severe facial palsy and DM were lower in patients with Ramsay-Hunt syndrome than with Bell’s palsy and were also lower in low-weight, normal weight, and overweight patients with Ramsay-Hunt syndrome than with Bell’s palsy. Rates of favorable recovery in patients with severe facial palsy and normal HDL, as well as in patients with severe facial palsy and < 10% ENoG, were lower in patients with Ramsay-Hunt syndrome than with Bell’s palsy.

Conclusions

Among patients with severe facial palsy, along with diabetes and < 10% ENoG, unfavorable recovery rates were significantly higher in those with Ramsay-Hunt syndrome than with Bell’s palsy.
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Metadaten
Titel
Comparative prognosis in patients with Ramsay-Hunt syndrome and Bell’s palsy
verfasst von
Seok Hyun Kim
Junyang Jung
Su Young Jung
Sung Hwa Dong
Jae Yong Byun
Moon Suh Park
Sang Hoon Kim
Seung Geun Yeo
Publikationsdatum
01.02.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 4/2019
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-019-05300-3

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