OBJECTIVES: The aim of this study was to define the typical pattern for varicella zoster virus (VZV) reactivation in delayed facial palsy (DFP) after stapedectomy for otosclerosis. MATERIALS and METHODS: Review of the relevant literature, personal casistics, and case-report RESULTS: In total, 48 cases of DFP after stapes surgery have been described so far, including the reported case with exclusive manifestation of atypical Ramsay Hunt syndrome (RH); in the personal series of 1253 stapedectomies, DFP occurred in only one case (0.08%). Complete DFP (House–Brack-mann grade VI) rapidly developed 12 days after surgery; RH appeared 2 days later, confirming the role of VZV. The DFP started improving after 8 weeks and completely recovered 6 months later. CONCLUSION: Acute otalgia prior to DFP should raise the suspicion of VZV reactivation. Atypical RH is the most frequent pattern that occurs in DFP after stapedectomy.

Typical or atypical ramsay-hunt syndrome in delayed facial palsy after stapedectomy? / F.D. Berardino, D. Zanetti. - In: THE JOURNAL OF INTERNATIONAL ADVANCED OTOLOGY. - ISSN 1308-7649. - 14:2(2018 Aug), pp. 233-238. [10.5152/iao.2018.3491]

Typical or atypical ramsay-hunt syndrome in delayed facial palsy after stapedectomy?

F.D. Berardino
Primo
;
2018-08

Abstract

OBJECTIVES: The aim of this study was to define the typical pattern for varicella zoster virus (VZV) reactivation in delayed facial palsy (DFP) after stapedectomy for otosclerosis. MATERIALS and METHODS: Review of the relevant literature, personal casistics, and case-report RESULTS: In total, 48 cases of DFP after stapes surgery have been described so far, including the reported case with exclusive manifestation of atypical Ramsay Hunt syndrome (RH); in the personal series of 1253 stapedectomies, DFP occurred in only one case (0.08%). Complete DFP (House–Brack-mann grade VI) rapidly developed 12 days after surgery; RH appeared 2 days later, confirming the role of VZV. The DFP started improving after 8 weeks and completely recovered 6 months later. CONCLUSION: Acute otalgia prior to DFP should raise the suspicion of VZV reactivation. Atypical RH is the most frequent pattern that occurs in DFP after stapedectomy.
Ramsay Hunt syndrome; zoster sine herpete; delayed facial palsy; stapedotomy; varicella zoster virus
Settore MED/32 - Audiologia
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/640901
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