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Oculostapedial synkinesis following Bells palsy, Ramsay Hunt syndrome and traumatic facial nerve paralysis is a rarely reported phenomenon. Oculostapedial synkinesis accompanying with hemifacial spasm also has ben reported. We experienced with oculostapedial synkinesis after Bells palsy. We objectively proved this oculostapedial synkinesis with impedance aud-iometry. The patient was successfuly treated by transmeatal tenotomy of the left stapedius muscle tendon under local anes-thesia. (Korean J Otolaryngol 2002;45:817-20)