Just born that way they are a little closer to the exterior than most ear drums. Not out like you can see them just more than most.
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What problems occur from that happening?
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Well I'm no expert as I get the lehmans explanation of it all but I'm currently 24 and still have tubes. I believe that it is more exposed to infections. My ears pop every time I swallow. I get more ear infections than usual. Just little stuff like that. It's just bothersome but hey more people with worse problems so I consider myself very blessed regardless.