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Ear tubes are often recommended when a person experiences repeated middle ear infection (acute otitis media) or has hearing loss caused by the persistent presence of middle ear fluid (otitis media with effusion).
Fluid in the Ear. 1  Conditions that can cause the auditory tube to become blocked can include enlarged structures such as tonsils, adenoids, and turbinates, or severe congestion. 2  It's common to have plugged ears for a while after you've had a severe cold and it can also be caused by allergies. Fluid in the ear is more likely to be the cause of plugged ears in children because their auditory tube is smaller in diameter and naturally more horizontal than an adult's auditory tube. Even though your ears may feel plugged, it is common to have little or no symptoms of fluid in the ear. It can, however, result in hearing loss and if left undiagnosed in small children, it can lead to speech delays.