The patient is a 13 year old male with a history of chronic otitis media.  He had a cold, and developed left ear pain and drainage that went untreated for over a month. Two weeks prior to the evaluation, he developed left facial paralysis.

• His electroneuronography results are shown below, please interpret.

Case donated by Tina Stern, AuD, then of University of Miami; and Tricia Sheehan, AuD of University of Miami