Ramos Macías A, Gómez González J L, de Miguel Martínez M I, López Alburquerque T, Lavilla Martín M J, Ruiz Martín F
Servicio de ORL, Hospital Clínico, Facultad de Medicina, Universidad de Salamanca.
Acta Otorrinolaringol Esp. 1990 Nov-Dec;41(6):387-91.
Herpes zoster oticus has a poor prognosis with permanent facial nerve dysfunction. We have studied 11 patients in a total group of 131 facial palsies seen in our service for a 20 month period. Four patients had no treatment. Two were treated with prednisone, and five were infused with acyclovir (10 mg/kg every 8 hours over a 10 day hospitalization period) and prednisone. These treatments were observed for 3 to 6 months. Patients follow up was, acyclovir group, 2 patients have achieved a House grade I, 1 patient grade II, 1 patient grade III and 1 left this treatment because side effects was observed. The other patients, 1 have achieved grade I, 2 patients grade II, 2 patients grade III and 1 patient grade V. The differences and final results are discussed.
耳带状疱疹预后较差，常伴有永久性面神经功能障碍。在我们科室20个月内诊治的131例面瘫患者中，我们研究了其中11例。4例患者未接受治疗。2例接受泼尼松治疗，5例接受阿昔洛韦（住院10天期间每8小时静脉滴注10mg/kg）和泼尼松治疗。对这些治疗进行了3至6个月的观察。阿昔洛韦组患者随访结果为，2例达到House I级，1例II级，1例III级，1例因观察到副作用而退出治疗。其他患者中，1例达到I级，2例II级，2例III级，1例V级。对差异和最终结果进行了讨论。
