“…It is estimated that bacterial infections of the middle ears, acute otitis media, affect 80% of the human population, usually at some point in their early lives ( Bluestone and Doyle, 1988 ; Alsarraf et al., 1999 ; Monasta et al., 2012 ; Vos et al., 2016 ; Liese et al., 2014 ; DeAntonio et al., 2016 ; Tong et al., 2018 ). Yet despite its prevalence and a long history of human affliction ( Goycoolea et al., 2019 ; Olivé-Busom et al., 2021 ), the disease has been difficult to study. A large number of these infections are caused by nasopharyngeal pathobionts that reach and colonize the middle ear via the Eustachian tube often during viral co-infections ( Bluestone et al., 1992 ; Soriano, 1997 ; Marom et al., 2012 ).…”