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Otitis media with effusion (OME) and ear infections are connected in two ways: 1  After most ear infections have been treated, fluid (an effusion) remains in the middle ear for a few days or weeks.  When the Eustachian tube is partially blocked, fluid builds up in the middle ear.
In some cases, the eardrum bursts, and pus drains out of the ear. In other cases, fluid remains in the middle ear, even after the infection has cleared up. Acute otitis media then turns into an ear problem known as otitis media with effusion * . The fluid buildup can last for weeks or months.