Abstract
• The most common extracranial complications of chronic otitis media (COM) are labyrinthitis and facial nerve paralysis.
• Labyrinthitis associated with COM occurs through fistulization of the otic capsule or invasion through the oval and round windows.
• Removal of cholesteatoma membrane from the endosteal membrane is recommended.
• Repair of oval or round window defects with soft tissue is an effective technique to preserve labyrinth function.
• Facial nerve paralysis in COM requires early surgery to remove chronic disease and preserve facial function.
• Intracranial complications from COM include meningitis, brain abscess, epidural/ subdural abscess, and sigmoid sinus thrombophlebitis.
• Meningitis and brain abscess from COM may occur through a preformed pathway or by retrograde thrombophlebitis.
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(2008). Complications of Chronic Otitis Media. In: Ear Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77412-9_4
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DOI: https://doi.org/10.1007/978-3-540-77412-9_4
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