Byl F M, Adour K K
Laryngoscope. 1977 Mar;87(3):372-9. doi: 10.1288/00005537-197703000-00010.
Auditory symptoms (hyperacusis, tinnitus, decreased hearing) have long been recognized to accompany herpetic or idiopathic facial paralysis. Twenty-nine percent of 1,080 patients with idiopathic facial paralysis and 37 percent of 172 with herpes zoster oticus facial paralysis had auditory symptoms. Abnormal related sensori-neural hearing loss was documented in only 11 of these 377 patients with auditory complaints. All of the 11 had a diagnosis of herpes zoster oticus. Sensori-neural hearing loss occurs in only about 6.5 percent of patients with herpes zoster facial paralysis, and no confirmed case of such loss in idiopathic facial paralysis has been reported. In patients presenting with sensori-neural hearing loss accompanying facial paralysis believed to be idiopathic, herpes zoster should be suspected even in the absence of vesicles. Factors favorable for recovery of auditory function include age 64 years or younger, mild initial hearing loss, a cochlear pattern of hearing loss, and absence of vertigo. Recovery of auditory function does take place; however, a high-tone sensori-neural loss may persist except in younger patients.
听觉症状（听觉过敏、耳鸣、听力下降）长期以来一直被认为与疱疹性或特发性面神经麻痹相伴。1080例特发性面神经麻痹患者中有29%以及172例耳带状疱疹性面神经麻痹患者中有37%出现了听觉症状。在这377例有听觉主诉的患者中，仅有11例记录到相关的感音神经性听力损失异常。这11例均诊断为耳带状疱疹。感音神经性听力损失仅发生在约6.5%的带状疱疹性面神经麻痹患者中，且尚无特发性面神经麻痹出现这种听力损失的确切病例报告。对于表现为伴有面神经麻痹的感音神经性听力损失且被认为是特发性的患者，即使没有水疱，也应怀疑为带状疱疹。有利于听觉功能恢复的因素包括年龄64岁及以下、初始听力损失较轻、听力损失呈耳蜗型以及无眩晕。听觉功能确实会恢复；然而，除年轻患者外，可能会持续存在高音调感音神经性听力损失。
