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Treatment and Prognosis of Facial Palsy on Ramsay Hunt Syndrome: Results Based on a Review of the Literature

Introduction Ramsay Hunt syndrome is the second most common cause of facial palsy. Early and correct treatment should be performed to avoid complications, such as permanent facial nerve dysfunction. Objective The objective of this study is to review the prognosis of the facial palsy on Ramsay Hunt s...

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Autores principales: Monsanto, Rafael da Costa, Bittencourt, Aline Gomes, Bobato Neto, Natal José, Beilke, Silvia Carolina Almeida, Lorenzetti, Fabio Tadeu Moura, Salomone, Raquel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Publicações Ltda 2016
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5063726/
https://www.ncbi.nlm.nih.gov/pubmed/27746846
http://dx.doi.org/10.1055/s-0036-1584267
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author Monsanto, Rafael da Costa
Bittencourt, Aline Gomes
Bobato Neto, Natal José
Beilke, Silvia Carolina Almeida
Lorenzetti, Fabio Tadeu Moura
Salomone, Raquel
author_facet Monsanto, Rafael da Costa
Bittencourt, Aline Gomes
Bobato Neto, Natal José
Beilke, Silvia Carolina Almeida
Lorenzetti, Fabio Tadeu Moura
Salomone, Raquel
author_sort Monsanto, Rafael da Costa
collection PubMed
description Introduction Ramsay Hunt syndrome is the second most common cause of facial palsy. Early and correct treatment should be performed to avoid complications, such as permanent facial nerve dysfunction. Objective The objective of this study is to review the prognosis of the facial palsy on Ramsay Hunt syndrome, considering the different treatments proposed in the literature. Data Synthesis We read the abstract of 78 studies; we selected 31 studies and read them in full. We selected 19 studies for appraisal. Among the 882 selected patients, 621 (70.4%) achieved a House-Brackmann score of I or II; 68% of the patients treated only with steroids achieved HB I or II, versus 70.5% when treated with steroids plus antiviral agents. Among patients with complete facial palsy (grades V or VI), 51.4% recovered to grades I or II. The rate of complete recovery varied considering the steroid associated with acyclovir: 81.3% for methylprednisolone, 69.2% for prednisone; 61.4% for prednisolone; and 76.3% for hydrocortisone. Conclusions Patients with Ramsay-hunt syndrome, when early diagnosed and treated, achieve high rates of complete recovery. The association of steroids and acyclovir is better than steroids used in monotherapy.
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spelling pubmed-50637262016-10-14 Treatment and Prognosis of Facial Palsy on Ramsay Hunt Syndrome: Results Based on a Review of the Literature Monsanto, Rafael da Costa Bittencourt, Aline Gomes Bobato Neto, Natal José Beilke, Silvia Carolina Almeida Lorenzetti, Fabio Tadeu Moura Salomone, Raquel Int Arch Otorhinolaryngol Introduction Ramsay Hunt syndrome is the second most common cause of facial palsy. Early and correct treatment should be performed to avoid complications, such as permanent facial nerve dysfunction. Objective The objective of this study is to review the prognosis of the facial palsy on Ramsay Hunt syndrome, considering the different treatments proposed in the literature. Data Synthesis We read the abstract of 78 studies; we selected 31 studies and read them in full. We selected 19 studies for appraisal. Among the 882 selected patients, 621 (70.4%) achieved a House-Brackmann score of I or II; 68% of the patients treated only with steroids achieved HB I or II, versus 70.5% when treated with steroids plus antiviral agents. Among patients with complete facial palsy (grades V or VI), 51.4% recovered to grades I or II. The rate of complete recovery varied considering the steroid associated with acyclovir: 81.3% for methylprednisolone, 69.2% for prednisone; 61.4% for prednisolone; and 76.3% for hydrocortisone. Conclusions Patients with Ramsay-hunt syndrome, when early diagnosed and treated, achieve high rates of complete recovery. The association of steroids and acyclovir is better than steroids used in monotherapy. Thieme Publicações Ltda 2016-05-30 2016-10 /pmc/articles/PMC5063726/ /pubmed/27746846 http://dx.doi.org/10.1055/s-0036-1584267 Text en © Thieme Medical Publishers
spellingShingle Monsanto, Rafael da Costa
Bittencourt, Aline Gomes
Bobato Neto, Natal José
Beilke, Silvia Carolina Almeida
Lorenzetti, Fabio Tadeu Moura
Salomone, Raquel
Treatment and Prognosis of Facial Palsy on Ramsay Hunt Syndrome: Results Based on a Review of the Literature
title Treatment and Prognosis of Facial Palsy on Ramsay Hunt Syndrome: Results Based on a Review of the Literature
title_full Treatment and Prognosis of Facial Palsy on Ramsay Hunt Syndrome: Results Based on a Review of the Literature
title_fullStr Treatment and Prognosis of Facial Palsy on Ramsay Hunt Syndrome: Results Based on a Review of the Literature
title_full_unstemmed Treatment and Prognosis of Facial Palsy on Ramsay Hunt Syndrome: Results Based on a Review of the Literature
title_short Treatment and Prognosis of Facial Palsy on Ramsay Hunt Syndrome: Results Based on a Review of the Literature
title_sort treatment and prognosis of facial palsy on ramsay hunt syndrome: results based on a review of the literature
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5063726/
https://www.ncbi.nlm.nih.gov/pubmed/27746846
http://dx.doi.org/10.1055/s-0036-1584267
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