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March 22, 2012American Journal of OtolaryngologyOpen Access

Zoster sine herpete causing facial palsy

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Key result

Steroid-antiviral combination therapy was more effective than steroid-only treatment for continuous improvement after 6 weeks in patients with zoster sine herpete and accompanying pain (P<0.05).

Why the study?

Does steroid-antiviral combination therapy improve recovery in patients with zoster sine herpete causing facial palsy compared to steroid-only treatment?

Population

45 patients with zoster sine herpete (ZSH) causing facial palsy

Comparison

Steroid-antiviral combination therapy vs Steroid-only treatment

Design

Cohort

Follow-up

up to 6 weeks

Authors

HLHo Yun LeeEwha Womans UniversityMKMyung Gu KimSeoul National UniversityDPDong Choon ParkSt. Vincent's Hospital

Discussion

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Member takes

Overview

May support antiviral addition for painful ZSH palsy; leaves open need for RCTs before changing practice.

Study Design

Type

Cohort (n=45)

Structured PICO

Does steroid-antiviral combination therapy improve recovery in patients with zoster sine herpete causing facial palsy compared to steroid-only treatment?

P
Population
45 patients with zoster sine herpete causing facial palsy, evaluated prospectively for treatment effects and retrospectively compared to other etiologies.
E
Exposure
Steroid-antiviral combination therapy
C
Comparator
Steroid-only treatment
O
Outcome
Improvement/recovery of facial palsy

Main Result

p-value: p=< .05

Steroid-antiviral combination therapy is more effective than steroid-only treatment for facial palsy caused by zoster sine herpete, particularly in patients with accompanying pain.

Cite This Study

Lee et al. (2012) conducted a cohort in Zoster sine herpete causing facial palsy (n=45). Steroid-antiviral combination therapy vs. Steroid-only treatment was evaluated on Continuous improvement after 6 weeks (p=< .05). Steroid-antiviral combination therapy was more effective than steroid-only treatment for continuous improvement after 6 weeks in patients with zoster sine herpete and accompanying pain (P<0.05).

synapsesocial.com/papers/6ab4aaa53f165cca5a9eee28https://doi.org/10.1016/j.amjoto.2012.02.001
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1High Prevalence of Varicella-Zoster Virus Reactivation in Herpes Simplex Virus-Seronegative Patients with Acute Peripheral Facial Palsy2000 · 115 citations
  2. 2Detection of Antibodies to Varicella-Zoster Virus Proteins in Sera from the Elderly2009 · 24 citations
  3. 3Reactivation of Herpes Simplex Virus Type 1 and Varicella‐Zoster Virus and Therapeutic Effects of Combination Therapy With Prednisolone and Valacyclovir in Patients With Bell's Palsy2007 · 116 citations