Panel 8: Complications and sequelae

Timothy T.K. Jung, Cuneyt M. Alper, Sten O. Hellstrom, Lisa L. Hunter, Margaretha L. Casselbrant, Anita Groth, Yusuf K. Kemaloglu, Sang Gyoon Kim, David Lim, Susan Nittrouer, Kee Hyun Park, Diane Sabo, Jorge Spratley

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Background and Objectives. Although serious complications of otitis media (OM) such as brain abscess are rare, sequelae of OM such as tympanic membrane perforation and atelectatic tympanic membrane are quite common. Inner ear sequelae can cause hearing loss and speech and language problems. The objectives of this article are to provide a state-of-the-art review on recent articles on complications and sequelae of OM in different anatomic locations, from the tympanic membrane to intracranial sites, as well as hearing loss and speech and language development. Data Sources. Primarily PubMed supplemented by Ovid MEDLINE and the Cochrane Database. Review Methods. All types of articles related to OM complications and sequelae published in English between January 2007 and June 2011 were identified. A total of 127 relevant quality articles are summarized and included in this report. Results. Key findings are summarized based on the following major anatomic locations and categories: tympanic membrane; cholesteatoma; ossicular problems; mucosal sequelae; inner ear sequelae; speech and language development; extracranial areas, including mastoiditis and facial nerve paralysis; intracranial complications; and future research goals. New information and insights were gained to prevent complications and sequelae. Conclusion and Implications for Practice. Over the past 4 years, progress has been made in advancing the knowledge on the complications and sequelae of OM, which can be used to prevent and treat them effectively. Areas of potential future research have been identified and outlined.

Original languageEnglish (US)
Pages (from-to)E122-E143
JournalOtolaryngology - Head and Neck Surgery (United States)
Issue number4 SUPPL.
StatePublished - Apr 2013


  • Atelectasis of TM
  • Cholesteatoma
  • Cranial complications
  • Facial nerve paralysis
  • Hearing loss
  • Mastoiditis
  • Otitis media
  • Speech and language
  • Tympanic membrane perforation

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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