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The common problems notwithstanding, an adult who presents with unilateral middle ear fluid and no precedent Eustachian tube dysfunction, allergic rhinitis. May 16, - It may also occur because of some dysfunction or noninfectious blockage of the eustachian tubes. Chronic otitis media with effusion occurs when fluid remains in the middle ear and continues to return without bacterial or viral infection. This makes children susceptible to new ear infections, and may affect hearing.