OBJECTIVE: To report the audiologic performance in a case of tank tumor (medulloblastoma) during hospitalization. CASE REPORT: This was a speech therapy patient in hospital for eight years, male, after removal of posterior tank tumor, with the consequences of facial paralysis and unilateral vocal fold paralysis. From the standpoint of speech therapy, the patient also had oropharyngeal dysphagia and dysphonia organic. At the time of clinical assessment to child was using a nasogastric tube for feeding from the surgery. In the evaluation revealed a mobility shift in the orofacial structures hemiface, slightly hypertonic tone of tongue and cheek, intraoral sensitivity amended; important impairment of GAG reflexes, vomiting, and swallowing. The main concern of the visits was focused on techniques and procedures to collaborate in protecting the lower airways. Therefore, we used vocal techniques and to encourage myofunctional glottal closure, adequate mobility of the tongue, lips and cheeks, to stimulate the sensitivity of the soft palate, as well as stimulation of the swallowing reflex. As indicators of speech therapy there was improvement in mobility and sensitivity orofacial saliva management, despite the permanence of the use of the probe to feeding. After speech therapy during admission, the patient was referred to outpatient speech therapy. CONCLUSION: The importance of speech-language intervention in the rehabilitation of swallowing and other functions after oral part of the posterior tank tumor.