OBJECTIVE: Description of a patient with chronic Medium Otitis cholesteatomatous surgery of Bondy and review bibliographic. CASE REPORT: Female patient 35 years of age coming from Assumption, Paraguay, who consults for big picture of evolution (since childhood) characterized by acute tinnitus in the left side, intermittent purulent left ear with intervals of less than 3 months ear dry, treated with ear drops (ciprofloxacin-hydrocortisone), amoxicillin-clavulanate and ciprofloxacin V.O. later, and feeling left ear blocked. Showed sudden facial paralysis on the contralateral side, characterized as Hause Brackman IV a month ago, treated with prednisone, acyclovir, calcium, vitamin D, B1, B6, B12 and physiotherapy. CONCLUSION: Presents the case of a patient with consistent clinical chronic medium otitis and facial paralysis, Bell data from physical examination and imaging compatible with cholesteatomatous apical why it chose to treat the modified of Bondy radical mastoidectomy successfully and good postoperative recovery.