ENT Evaluation of acute facial paralysis Ramsay-Hunt syndrome a It is manifest by a facial palsy with a vesicular eruption over a distribution of a cranial nerve u Sensorineural hearing loss and vertigo may also be present in up to 20%of cases a Prognosis is poor than Bell's palsyEvaluation of acute facial paralysis ◼ Ramsay-Hunt syndrome ◼ It is manifest by a facial palsy with a vesicular eruption over a distribution of a cranial nerve ◼ Sensorineural hearing loss and vertigo may also be present in up to 20% of cases. ◼ Prognosis is poor than Bell’s palsy