Over time, the pustules rupture, dry out and become crusted. When herpes zoster involves the sensory portion of the geniculate ganglion of the facial nerve, it may produce a lower motor neuron facial paralysis and associated herpetic eruption over the affected dermatomes. This is called the Ramsay Hunt Syndrome [Herpes Zoster Oticus].
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![External Auditory Canal Junction [the Isthmus]](https://medtube.net/images/min/ed89ef2b09553cecbd7125f5b3fd1867/115/70/1 "External Auditory Canal Junction [the Isthmus]")
![Early Herpes Simplex Upper Lip [Closer View]](https://medtube.net/images/min/f48af5bad1d7967113e7cb335ec0d7d0/115/70/1 "Early Herpes Simplex Upper Lip [Closer View]")
