Herpes zoster oticus

Abstract

Herpes zoster oticus, an uncommon but recognizable cause of facial paralysis, can be identified from the characteristic auricular vesicles. Manifestations can include otic vesicles, facial paralysis, decreased hearing, dizziness, and severe ear and facial pain. Topographic and nerve excitability studies help determine extent of involvement and probable prognosis. Although therapy remains controversial, outcome in a few cases has suggested that systemic steroid therapy is beneficial.