OBJECTIVE: To describe the clinical rout of a case of facial paralysis after viral infection after medical treatment. Clinical report: Patient male 44 years of age coming from Ciudad del Este look for the service due to the demand of the left ear pain since 6 days, intense, continuous, which yields partially with oral analgesics. He observes three days of swelling in the left ear, with increased local temperature, redness, and pain of higher intensity located on the pavillion. Holocranial accompanied by intense headache, nausea and deviation from the right corner of the mouth. Consultation with a doctor who suggested looking for our service. Denies othorrea, hearing, feeling feverish. Physical examination: evidence is limited in the blink his left eye, deviation of labial commissure to the right bus left nasolip folds, decreased muscle tone at rest, without changing the mobility of the tongue or palate Fleece. Left ear, ear pain, edematous with inflammatory signs, bullous scaly lesions; external auditory channel stenosis, edematous. It begins treatment with cefazolin 4g/day; 24mg/day dexamethasone, eye drops and mechanical protection, acyclovir 2.4 g / day; kinesioterapy. With a good outcome. CONCLUSION: The recovery of peripheral facial paralysis is related to the degree of initial unaffected. The hearing was a positive torpid evolution. The symptoms have a good clinical response, may inadvertently pass on these patients and should always be confirmed with complementary tests.