Causes of otorrhea in children

Life-threatening conditions

Traumatic CSF otorrhea

Infectious complications of acute otitis media*

Necrotizing otitis externa

Neoplasm

Common conditions

Bacterial otitis externa

Foreign body

Acute otitis media with perforation of TM

Chronic suppurative otitis media

Cerumen

Tympanostomy tube drainage

Other conditions

Contact dermatitis

Bullous myringitis with rupture of bulla

Granulation tissue

Polyps

Otomycosis

First branchial cleft cyst

Cholesteatoma

Spontaneous CSF otorrhea

Histiocytosis

CSF: cerebrospinal fluid; TM: tympanic membrane.
* Adjacent infections include mastoiditis and temporal bone osteomyelitis. Intracranial complications of acute otitis media include meningitis; brain abscess; epidural abscess; subdural empyema; and thrombosis of the lateral sinus, cavernous sinus, and/or carotid artery.

Graphic 68061 Version 5.0

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Causes of otorrhea in children