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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.
The Eustachian tube connects the ear to the throat, and it helps to drain fluid from the ear and into the throat where it can be swallowed, this helps to prevent the accumulation of fluid within the ear. After the treatment of many ear infections, fluid will remain in the middle ear for several days.