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Ear infections occur when one of your Eustachian tubes becomes swollen or blocked and fluid builds up in your middle ear. Eustachian tubes are small tubes that run from each ear directly to the back of the throat. The causes of Eustachian tube blockage include: 1  allergies. 2  colds. 3  sinus infections. 4  excess mucus. 5  tobacco smoking.
There are a number of reasons why ear infections are much more common in younger children than older children and adults, Dr. Young said. When there is poor ventilation of the middle ear through the eustachian tube, ear infections are more likely to occur. Doctors call this kind of infection otitis media. This tiny tube, the length of a Barbie doll's hand, links the middle ear to the throat. In younger children, this tube is smaller and shorter.