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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.
This condition is connected with ear infection in two ways: After the treatment of many ear infections, fluid will remain in the middle ear for several days. When the Eustachian tube becomes partially blocked, fluid begins to accumulate in the middle ear. Bacteria can then begin to accumulate within the liquid, which can result in an infection.