Typical or atypical ramsay-hunt syndrome in delayed facial palsy after stapedectomy?

Federica Di Berardino, Diego Zanetti

Research output: Contribution to journalArticlepeer-review


OBJECTIVES: The aim of this study was to define the typical pattern for varicella zoster virus (VZV) reactivation in delayed facial palsy (DFP) after stapedectomy for otosclerosis. MATERIALS and METHODS: Review of the relevant literature, personal casistics, and case-report RESULTS: In total, 48 cases of DFP after stapes surgery have been described so far, including the reported case with exclusive manifestation of atypical Ramsay Hunt syndrome (RH); in the personal series of 1253 stapedectomies, DFP occurred in only one case (0.08%). Complete DFP (House–Brack-mann grade VI) rapidly developed 12 days after surgery; RH appeared 2 days later, confirming the role of VZV. The DFP started improving after 8 weeks and completely recovered 6 months later. CONCLUSION: Acute otalgia prior to DFP should raise the suspicion of VZV reactivation. Atypical RH is the most frequent pattern that occurs in DFP after stapedectomy.

Original languageEnglish
Pages (from-to)233-238
Number of pages6
JournalJournal of International Advanced Otology
Issue number2
Publication statusPublished - Aug 1 2018


  • Delayed facial palsy
  • Ramsay Hunt syndrome
  • Stapedotomy
  • Varicella zoster virus
  • Zoster sine herpete

ASJC Scopus subject areas

  • Otorhinolaryngology


Dive into the research topics of 'Typical or atypical ramsay-hunt syndrome in delayed facial palsy after stapedectomy?'. Together they form a unique fingerprint.

Cite this