Site |
Complication |
Systemic |
Systemic infection |
|
Altered mental status |
|
Pain |
External ear |
Otorrhea |
Middle ear |
Temporal bone resorption |
|
Ossicular destruction |
|
Otic capsule destruction |
|
Tympanic membrane rupture |
|
Conductive hearing loss |
Inner ear |
Sensorineural hearing loss |
|
Dysequilibrium due to vestibular dysfunction |
Periauricular |
Local infection |
|
Mastoid infiltration (e.g. acute mastoiditis) |
|
Facial nerve paresis/transsection |
|
Cutaneous fistulas |
|
Cervical abscess (Bezold's abscess) |
|
Postauricular pain |
|
Postauricular swelling |
Intracranial |
Invasion of posterior fossa |
|
Temporal lobe abscess |
|
Parietal lobe abscess |
|
Cerebellar abscess |
|
Extradural abscess |
|
Invasion of the labyrinth and Fallopian canal |
|
Lateral sinus thrombosis/thrombophlebitis |
|
Subdural abscess |
|
Meningitis |