Comparative prognosis in patients with Ramsay-Hunt syndrome and Bell's palsy - PubMed (original) (raw)
Comparative Study
. 2019 Apr;276(4):1011-1016.
doi: 10.1007/s00405-019-05300-3. Epub 2019 Feb 1.
Affiliations
- PMID: 30707280
- DOI: 10.1007/s00405-019-05300-3
Comparative Study
Comparative prognosis in patients with Ramsay-Hunt syndrome and Bell's palsy
Seok Hyun Kim et al. Eur Arch Otorhinolaryngol. 2019 Apr.
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.
Keywords: Bell’s palsy; Facial palsy; Metabolic syndrome; Prognosis; Ramsay-Hunt syndrome.
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