ENT Evaluation of acute facial paralysis Schirmer test, stapedial reflex, electrogustometry, and salivary flow has be obsolete Serologic studies can be considered to evaluation for lyme disease, autoimmune disorders, or other central nervous system diseaseEvaluation of acute facial paralysis ◼ Schirmer test, stapedial reflex, electrogustometry, and salivary flow has be obsolete. ◼ Serologic studies can be considered to evaluation for lyme disease, autoimmune disorders, or other central nervous system disease