Treatment of Facial Nerve Paralysis in Ramsay-Hunt Syndrome
Clinical Scenario
Ramsay-Hunt syndrome is a specific and particularly severe cause of peripheral facial nerve paralysis. It resembles Bell's palsy in presentation but carries distinct clinical features and a considerably more serious course, making early recognition and prompt intervention critical.
Treatment Approach — Partial Overview
Management centres on a defined course of corticotherapy, initiated as early as possible, combined with associated treatments. Systematic eye care is also an integral part of the protocol. The complete regimen, agent selection, and all supporting measures are detailed in the full protocol.
References
DOI: 10.1016/j.anorl.2020.06.004
Ramsay-Hunt syndrome resembles Bell's palsy, with some clinical differences and much greater severity.
In Ramsay-Hunt syndrome, 7 days' corticotherapy with prednisolone or methylprednisolone associated to antiviral treatment should be initiated as early as possible.
Ophthalmologic treatment comprising local care, nocturnal occlusion and patient education should be systematic and as early as possible.
They can be prevented by systematic administration of eye-drops, protective gel or artificial tears several times daily and especially at night.
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