Herpes zoster oticus: Difference between revisions

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*[[Otitis Externa]]
*[[Otitis Externa]]
*[[Otitis Media|Perforated Otitis Media]]
*[[Otitis Media|Perforated Otitis Media]]
*[[Bells Palsy]]
*[[Bell's Palsy]]

Revision as of 02:23, 5 June 2014


Also know as "Herpes Zoster Oticus" which is an infection of the auricle with associated facial paralysis usually involving CN VII but may involve CN V.

Clinical Features

  • Facial pain
  • Errytema and Swelling of auricle
  • Vesicles within external ear canal and on auricle
    • Develop over 3-7 days

Differential Diagnosis


  • History and physical
  • Otoscopy
  • Neuro exam focusing on Cranial nerve, crossed findings, upper and lower motor neuron involvement


  1. Oral analgesia
  2. Antiviral Options
    1. Acyclovir 800mg 5 times a day x 7 days
    2. Famicyclovir 500mg TID x 7 days
    3. Valacyclovir 1000mg TID x 7 days


  • Outpatient PMD followup

See Also