Ramsay Hunt Syndrome: Case Presentation and Management

s Introduction: Ramsay hunt syndrome is a Viral infection by VZV which involve the facial nerve (CN VII) mainly although others cranial nerves as (CN VII, IX, V and VI) may be involved, this syndrome presented as: vesiculation and ulceration of the external ear and ipsilateral anterior two third of the tongue and soft palate accompanied by ipsilateral facial palsy, with incidence of 5/ 1000 and most affected people lie within age group of (20-30) years old with no gender prediction. Case Report: We report a case of a 24 years old male came to our OMFS department at KTDH complained of painful, burning multiple ulcers extra and intra orally restricted to the right side of his face only with prodromal symptoms. Fluid resuscitation, antibiotics and antiviral were given. After ten days the patient developed (lower motor neuron facial palsy) ipsilateral. Diagnosis of RHS was done and corticosteroids were added to his medications. Conclusion: After revision of many previous studies with different modalities of treatment, we recommend using a combination of antivirals and steroids as the main modality of treatment as it seems plus early diagnosis and treatment are the main factors determine degree and speed of recovery.