The injuries that come to fracture the temporal bone usually occur in polytraumatized patients with various brain lesions. According to Paparella accepts the Diagnosis of temporal bone fracture in a patient with a history of head trauma and facial paralysis, however, one cannot establish any temporal bone fracture using more sophisticated imaging techniques, or included by surgical exploration. We present a case of a 14-year-old who came to our service with a staff of 28 days of evolution, skull trauma by traffic accident on a motorcycle. During transport to the hospital to see the facial paralysis on the right. He was in intensive care unit for 3 days. By the fifth day you realize right ear hearing loss. It is added vertigo purpose with regard to the change in position and tinnitus right acute. On physical examination the otoscopy is normal. Right facial palsy House - Brackmann 4. + Rinne right side, left lateralize Weber. There are notes nigtasmus spontaneous or provoked. Computerized tomography without fracture traces. Tone audiometry there is deafness in his right ear. We can get to the clinical diagnosis of post traumatic facial paralysis for bone fracture. He established the full doses steroids with partial improvement of facial palsy only.