Combination therapy is preferable for patients with Ramsay Hunt syndrome

Otol Neurotol. 2011 Jul;32(5):852-5. doi: 10.1097/MAO.0b013e31821a00e5.


Objective: To critically appraise the topic, questioning whether administering antiviral medication in case of Ramsay Hunt syndrome improves the restoration of facial nerve function.

Methods: We reviewed the literature on this subject and calculated the odds ratios for the different treatment modalities.

Results: Our study clearly shows that antiviral medication in combination with corticosteroids improves the outcome for patients with Ramsay Hunt syndrome.

Conclusion: Contrary to a recent Cochrane Library review, we conclude that patients with Ramsay Hunt syndrome should be treated with combination therapy including antivirals.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use*
  • Antiviral Agents / therapeutic use*
  • Drug Therapy, Combination
  • Herpes Zoster Oticus / drug therapy*
  • Humans
  • Treatment Outcome


  • Adrenal Cortex Hormones
  • Antiviral Agents