Clicking Sounds in the Left Ear: Possible Causes and Insights

A "clicking" sound is heard in the left ear?

Hello Doctor, I am currently a high school freshman.
Three days ago, I started hearing a "clicking" sound in my left ear intermittently.
After a few days of self-observation, I noticed that this sound occurs when I tightly close my mouth or when I chew, causing muscle movement in my cheeks.
Under normal circumstances, even when my mouth is closed without exerting force, there is no sound.
My hearing is generally normal.
I searched online but couldn't find relevant information.
Eventually, I came across this article "#78395 Facial Nerve Issues", and the response you provided about "the small muscle in the middle ear that controls the eardrum (which also adjusts sound reception) may be overreacting, similar to a continuous spasm" closely resembles my situation.
However, I do not have any issues related to the facial nerve.
I am currently quite confused about what is happening to me.
If possible, could you please provide me with some advice? I would greatly appreciate it.

Xiao Wu, 10~19 year old female. Ask Date: 2016/02/12

Dr. Gao Chunde reply Neurology

Your current situation does not seem to resemble the facial nerve issue I previously mentioned.
It is more likely that there is a small foreign object in the external auditory canal, such as a hair or earwax debris, which may be causing sounds when the facial muscles move and affect the external ear canal, making the object touch the eardrum.
Another possibility, although less likely given your young age, could be an issue with the temporomandibular joint near the ear.
I recommend scheduling an appointment with an otolaryngologist to examine the condition of your external auditory canal.

Reply Date: 2016/02/12

More Info

Understanding the clicking sounds in your left ear can be quite perplexing, especially when it occurs during specific actions like chewing or clenching your jaw. Based on your description, it seems that the sounds you are experiencing may be related to the function of the Eustachian tube or the muscles associated with the middle ear.

Possible Causes of Clicking Sounds in the Ear
1. Eustachian Tube Dysfunction: The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure in the ear. When you chew or clench your jaw, the muscles around the Eustachian tube may contract, causing it to open or close suddenly, which can create a clicking or popping sound. This is often more noticeable when there is a change in pressure, such as during chewing or yawning.

2. Muscle Spasms: The middle ear contains small muscles that help control the tension of the eardrum. If these muscles spasm, they can create sounds that may be perceived as clicking or popping. This phenomenon can occur without any underlying facial nerve issues, especially if the spasms are mild and transient.

3. Temporomandibular Joint (TMJ) Issues: The TMJ is located very close to the ear, and any dysfunction or misalignment in this joint can lead to sounds in the ear. When you move your jaw, the movement can affect the surrounding structures, including the Eustachian tube and the muscles of the middle ear, potentially leading to the clicking sounds you hear.

4. Earwax Buildup: Although you mentioned that your hearing is normal, sometimes a small amount of earwax can cause unusual sounds, especially if it shifts or moves in the ear canal during jaw movements.

5. Middle Ear Pressure Changes: Changes in pressure within the middle ear can also lead to sounds. This is often experienced during altitude changes, but it can also occur with certain movements of the jaw or head.

Recommendations
1. Observation: Since you are still in high school and this is a relatively new symptom, continue to observe the situation. If the clicking sound persists or worsens, it may be worth consulting an ear, nose, and throat (ENT) specialist.

2. Jaw Exercises: If you suspect TMJ involvement, gentle jaw exercises may help alleviate any tension in the joint. Avoid clenching your jaw and try to maintain a relaxed posture.

3. Stay Hydrated: Sometimes, hydration can help maintain the mucosal lining of the Eustachian tube, which may improve its function.

4. Avoid Loud Noises: Protect your ears from loud environments, as excessive noise can exacerbate any underlying issues.

5. Consult a Specialist: If the clicking sound continues or if you experience any additional symptoms such as pain, hearing loss, or dizziness, it would be prudent to see an ENT specialist. They can perform a thorough examination and may conduct tests to rule out any underlying conditions.

Conclusion
In summary, the clicking sounds in your left ear during specific jaw movements are likely related to the function of the Eustachian tube, muscle spasms, or TMJ issues. While these sounds can be concerning, they are often benign and can be managed with observation and lifestyle adjustments. However, if symptoms persist, seeking professional medical advice is always the best course of action.

Similar Q&A

Understanding Ear Clicking Sounds and Hearing Loss: What You Need to Know

Hello doctor, when I was in middle school, I suddenly experienced tinnitus after coming down from a mountain, which was very uncomfortable and lasted for a day before returning to normal. Since that incident, I have developed a habit of moving my mouth to the left or right, which...

Dr. Zheng Jueyi reply Otolaryngology
Hello, it is recommended to visit the hospital for a hearing examination for proper assessment. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Understanding Ear Noises: Causes and Treatment for Ear Issues

I experience a clicking sound in my left ear when I jump in place or go up and down stairs, and occasionally while walking. The sound resembles a mouse click or small steel balls colliding. It does not seem to occur in a rhythmic pattern, and I do not hear it when my body is stil...

Dr. Zheng Jueyi reply Otolaryngology
The tensor tympani muscle and stapedius muscle are small muscles in the middle ear. When these muscles contract, they may produce sounds within the ear. However, it is unclear whether there is a correlation with dental treatment. It is advisable to use medication and observe the ...

Understanding Ear Sounds While Running: Causes and Solutions

Hello Doctor: I have been jogging for many years, but recently, for the past month or two, I have been undergoing treatment for a cold due to persistent phlegm in my throat and nasal congestion. Recently, while running, I have been experiencing a clicking sound in my left ear tha...

Dr. Zheng Jueyi reply Otolaryngology
Hello: You can visit the otolaryngology department to check if there is small earwax stuck on the eardrum, which may cause vibrations when running or turning your head. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Otolaryngology Department, Taoyuan ...

Understanding Ear Noises: What Causes Clicking Sounds in Your Ear?

Hello, I often hear a sound like "enn enn enn" in my ear, sometimes accompanied by a clicking sound similar to pressing a pen cap, which is quite clear. It seems to occur only in my left ear, and when the clicking sound happens, I feel a sensation as if there is a pen i...

Dr. Zheng Jueyi reply Otolaryngology
Hello, if the tinnitus occurs only during quiet times, it is mostly a benign phenomenon. You can observe it for now, and if it does not improve, you may go to the hospital for relevant examinations. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the D...