Otitis media probably develops from an infection that spread

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Otitis media (middle ear infection) typically develops when bacteria or viruses enter the middle ear through the eustachian tube, which connects the middle ear to the throat. The bacteria or viruses can travel from the throat and nose to the eustachian tube, causing inflammation and fluid buildup in the middle ear. This can lead to pain, pressure, and hearing problems. In rare cases, otitis media can also develop from a punctured or ruptured eardrum, but this is not the most common cause.

Otitis Media Probably Develops from an Infection That Spread