By Gregory Griffin, DMD, Courtney S. Babb, DMD, Kim L. Capehart, DDS, PhD, MBA
Oral health professionals are likely to see patients who have, or have experienced, facial paralysis, so it is important for clinicians to be aware of its potential causes. While the most common etiologies are Bell’s palsy and trauma, Ramsay Hunt syndrome (RHS) should be included in the differential diagnosis. Caused by reactivation of latent varicella-zoster virus (herpes zoster/shingles) in the geniculate ganglion, RHS presents as facial nerve palsy accompanied by an erythematous vesicular rash on the ear, or in the ear canal or mouth.
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