Buzzing Sound in Ear While Speaking: Possible Causes and Solutions - Otolaryngology

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Hearing sounds in the ear while speaking?


Hello, doctor.
Last night, I suddenly felt discomfort in my ear, accompanied by a buzzing sound.
Since the refrigerator was next to me, I initially thought it was the sound of the refrigerator running.
I wore earplugs while sleeping, so I didn't hear much noise.
This morning, I thought it had improved, but when I spoke, the sound returned.
Now it has become a strange noise that occurs while I am speaking, especially on the left side, which is quite loud.
However, there is no issue when I am not speaking.
I also feel a slight sensation of fullness in my ear.
I have a history of microtia (on my left ear), but I have never experienced this before.
I'm not sure if this is related to my microtia.
Thank you for your help!

Nain, 20~29 year old female. Ask Date: 2016/04/07

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there is no improvement, it is recommended to seek medical examination, as the issue cannot be determined at this time.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/07

More Info


Hello! Thank you for reaching out with your concerns regarding the buzzing sound in your ear while speaking. Based on your description, it sounds like you may be experiencing a phenomenon related to the function of the Eustachian tube or possibly a form of tinnitus.
The Eustachian tube connects the middle ear to the back of the nose and throat, helping to equalize pressure in the ear. When you speak, the pressure changes in your throat and mouth can affect the Eustachian tube's function, leading to sensations of fullness or buzzing sounds. This is particularly relevant for individuals with ear conditions, such as microtia (small ear syndrome), which you mentioned you have. Microtia can sometimes be associated with abnormalities in the ear canal and middle ear structures, which may contribute to unusual auditory sensations.

Tinnitus, on the other hand, is a condition characterized by hearing sounds that are not caused by external stimuli, such as ringing, buzzing, or hissing. It can be triggered by various factors, including exposure to loud noises, ear infections, or even stress and anxiety. Given that you are experiencing this buzzing sound primarily when speaking, it could be a form of somatic tinnitus, where the sound is influenced by movements or actions such as talking.

Here are some potential causes and solutions for your symptoms:
1. Eustachian Tube Dysfunction: If the Eustachian tube is not functioning properly, it can lead to pressure imbalances in the ear. You might try techniques to help equalize ear pressure, such as the Valsalva maneuver (pinching your nose and gently blowing) or chewing gum to encourage the tube to open.

2. Tinnitus Management: If the buzzing sound is indeed tinnitus, there are several strategies you can employ. Sound therapy, which involves listening to white noise or soft music, can help mask the buzzing sound. Cognitive Behavioral Therapy (CBT) is also effective for some individuals, as it helps change the way you perceive and react to the tinnitus.

3. Consultation with an Ear Specialist: Given your history of microtia and the new onset of these symptoms, it would be wise to consult with an otolaryngologist (ear, nose, and throat specialist). They can perform a thorough examination, including audiometric tests, to assess your hearing and the function of your Eustachian tube.

4. Avoiding Loud Noises: Protecting your ears from loud environments is crucial, as exposure to loud sounds can exacerbate tinnitus and other ear-related issues.

5. Stress Management: Since stress and anxiety can worsen tinnitus, engaging in relaxation techniques such as mindfulness, yoga, or meditation may help alleviate your symptoms.

In summary, while the buzzing sound in your ear when speaking could be related to Eustachian tube dysfunction or tinnitus, it is essential to seek a professional evaluation to determine the exact cause and appropriate treatment. Your unique situation, particularly with your history of microtia, warrants a tailored approach to management. I hope this information helps, and I wish you the best in finding relief from your symptoms!

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