The Secondary facial paralysis to the media otitis is a known complication of acute and chronic infections. It is a pathophysiology unknown but the high pressure middle ear, the osteitis, bacterial invasion and neurotoxicity, could be involved. Lactating female patient greater than 1 year and 6 months old is not known carrier of the pathology consultation for febrile syndrome for 4 days of evolution. In the lasta 24 tours is added diversion of labial appearance of sharply to the right and followed by a slight fall of parpado left. On physical examination draws attention diversion of the right lip commissure, left eyelid ptosis parpados edematous, blunting of nasolabial folds with left deviation of labial commissure to the right with the ability to fully close the left eye, the parpados edematous. Otoscopy: OD: CAE with scaling MT integrates, ilustrated. OI: CAE with abundant secretion that aspires total perforation of the tympanic membrane, is observed edge of the inner wall. Blood count was performed and showed pancytopeny. Analysis of peripheral blood of 40% blasts information. Tomography are viewing mastoids partially veiled in both ears with predominantly left impressionates huesecillos preserved. Vested bilaterally posterior ethmoid cells. If you arrive at the diagnosis of Acute Necrotizing Otitis Media complicated by palsy in the context of an acute lymphoblastic leukemia. If you undertake a broad spectrum antibiotic coverage plus prednisone with the framework that overcomes infectious and improves facial paralysis.