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Ear infections are common in the first few years of life, partly due to how the ear‘s eustachian tube develops, explains Ear infections are common in the first few years of life, partly due to how the ear‘s eustachian tube develops, explains Haidy Marzouk, MD Haidy Marzouk, MD, an Upstate ear, nose and throat specialist. The tube‘s horizontal position make it prone to blockage and fluid buildup, she says, but after age 3 or so, as the tube becomes more vertical, the ear infections become less frequent. She also explains treatment, the use of antibiotics and extreme cases., an Upstate ear, nose and throat specialist. The tube‘s horizontal position make it prone to blockage and fluid buildup, she says, but after age 3 or so, as the tube becomes more vertical, the ear infections become less frequent. She also explains treatment, the use of antibiotics and extreme cases.