\[\left( \frac{a + 4^{\backslash a + 4}}{a - 4} - \frac{a - 4^{\backslash a - 4}}{a + 4} \right)\ :\frac{48a}{16 - a^{2}} =\]
\[= \frac{a^{2} + 8a + 16 - a^{2} + 8a - 16}{a^{2} - 16} \cdot \frac{16 - a^{2}}{48a} =\]
\[= \frac{16a}{a^{2} - 16} \cdot \frac{16 - a^{2}}{48a} = - \frac{1}{3}.\]