Herpes zoster oticus


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