Ear Lobe Repair: An Innovative Method

Annals of Otology and Neurotology ISO Vol. 02 Suppl. S1/2019 Discussion Herpes zoster cephalicus is an uncommon clinical syndrome seen in immunocompromised patients which occurs due to reactivation of herpes zoster virus dormant in the involved cranial nerve ganglia of head and neck. Patients present to us with acute onset of facial nerve palsy with otalgia with vesicles seen in the sensory distribution of the facial nerve, absence of pharyngeal reflexes, paralysis of palate, and vocal cord. Some patients may also have labyrinthine involvement. Then, patients should be aggressively treated with acyclovir and steroids along with antiretroviral therapy. Conclusion Immunocompromised patients having multiple lower cranial nerve palsies of head and neck should be suspected to have herpes zoster cephalicus. These patients should be aggressively treated to prevent unwanted permanent motor deficits.