Most ear infections don’t cause long-term issues. When complications happen, they’re usually related to repeated or ongoing ear infections. Complications include: Hearing loss: Temporary hearing loss or changes in your hearing (muffling or sound distortions) are common during an ear infection. Repeated or ongoing infections or damage to internal structures in your ear can cause more significant hearing loss. Delayed speech and language development: Children need to hear to learn language and develop speech. Muffled hearing or hearing loss for any length of time can significantly delay development. Torn eardrum: About 5% to 10% of children with an ear infection develop a small tear in their eardrum. Often, the tear heals on its own. If it doesn’t, your child may need surgery. Spread of the infection: Untreated infections or infections that don’t improve on their own can spread. Infection can spread to the bone behind your ear (mastoiditis). Occasionally, an infection can spread to the membranes surrounding your brain and spinal cord (meninges) and cause meningitis.