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Otitis Externa and Otinova

  Otitis Externa and Otinova: A Practical, No-Nonsense Guide If your ear suddenly feels itchy, sore, blocked, or painful after swimming or showering, you may be dealing with otitis externa —often called “swimmer’s ear.” The good news: most cases are very treatable with the right early steps. This guide explains what otitis externa is, why it happens, where Otinova fits in, and when to escalate quickly. What is otitis externa? Otitis externa is inflammation (and sometimes infection) of the skin lining the external ear canal. It commonly presents with: Ear pain (often worse when touching or pulling the outer ear) Itching Fullness/blockage Reduced hearing from swelling/debris Sometimes watery discharge Otinova’s own instruction documents describe it as treatment for ear canal inflammation/eczema (swimmer’s ear). Why does it happen? The ear canal is protected by a mildly acidic environment and a skin barrier. Otitis externa tends to flare ...

Earbuds vs Over-Ears: Which One Is Silently Damaging Your Hearing?


Headphones are no longer an occasional accessory—they’re part of daily life. From early-morning podcasts to late-night playlists, our ears are spending more time under acoustic load than ever before. But a question keeps coming up in clinics, classrooms, and conversations around ear health:

Are earbuds worse for your hearing than over-ear headphones?

Let’s move beyond opinion and aesthetics. By looking at sound pressure levels, hygiene, and long-term listening behaviour, we can reach a clear, evidence-informed conclusion.

1. Sound Pressure Levels: Distance Matters More Than You Think

The single most important factor in headphone-related hearing risk is the amount of sound energy that reaches the inner ear.

Earbuds (In-Ear Headphones)

  • Sit millimetres from the eardrum

  • Deliver sound directly into the ear canal

  • Require lower absolute power, but often result in higher sound pressure at the cochlea

  • Users tend to increase volume in noisy environments (commuting, gyms, streets)

Even at moderate phone volume settings, earbuds can generate dangerously high sound pressure levels (SPLs) at the eardrum—especially with prolonged use.

Over-Ear Headphones

  • Speaker drivers sit several centimetres away

  • Sound dissipates before reaching the eardrum

  • Typically achieves the same perceived loudness at lower cochlear stress

  • Better passive noise isolation → less volume compensation

Verdict:
👉 Over-ear headphones are acoustically safer for equivalent listening time and volume.

2. Hygiene & Ear Canal Health: The Hidden Risk

Hearing health isn’t just about decibels.

Earbuds

  • Create a sealed, warm, moist environment

  • Trap sweat, skin debris, and bacteria

  • Can push wax deeper into the canal

  • Strongly associated with:

    • Otitis externa (ear canal infections)

    • Itching, irritation, blocked ears

    • Fluctuating hearing due to wax impaction

Cleaning frequency among users is… let’s be honest… inconsistent at best.

Over-Ear Headphones

  • Do not occlude the ear canal

  • Allow ventilation

  • Minimal interference with wax migration

  • Lower infection and irritation risk

Verdict:
👉 Over-ear headphones win again for ear canal health and hygiene.

3. Long-Term Usage Patterns: Behaviour Drives Damage

Hearing loss is rarely caused by one loud moment—it’s usually the result of chronic exposure.

Typical Earbud Use

  • Longer listening sessions

  • More likely to be worn all day

  • Frequently used in loud environments

  • Often exceed the “safe listening” threshold unknowingly

Typical Over-Ear Use

  • Used more intentionally (work, travel, studio)

  • Less discreet → more awareness of listening duration

  • Easier to follow 60/60 rule (≤60% volume for ≤60 minutes at a time)

Verdict:
👉 Over-ear headphones encourage healthier listening habits.

4. What About Noise-Cancelling Earbuds?

A fair question—and an important nuance.

High-quality noise-cancelling earbuds can reduce background noise, meaning users don’t need to turn the volume up. This does improve safety, but:

  • They still sit very close to the eardrum

  • Hygiene risks remain

  • Prolonged daily use still carries a cumulative exposure risk

They are better than basic earbuds, but they are still not superior to over-ears in terms of hearing preservation.

5. The Final Verdict: Which Is Better for Your Hearing?

🏆 Winner: Over-Ear Headphones

From an auditory health standpoint, over-ear headphones are:

  • Safer in terms of sound pressure delivery

  • Better for ear canal hygiene

  • Associated with healthier listening behaviour

  • Less likely to contribute to noise-induced hearing loss over time

That said…

No headphone is truly “safe” if:

  • The volume is too high

  • Listening sessions are too long

  • Breaks are ignored

Practical Take-Home Tips (Whatever You Use)

  • Follow the 60/60 rule

  • Use noise-cancelling where possible

  • Take listening breaks every hour

  • Clean earbuds regularly (weekly minimum)

  • Get your hearing checked if you notice:

    • Ringing (tinnitus)

    • Muffled hearing

    • Ear fullness after listening

Bottom Line

If auditory health is the priority—and long-term hearing really matters—over-ear headphones are the more ear-friendly choice. Earbuds may be convenient, but convenience often comes at a biological cost.

Your ears are built to last a lifetime.
Your playlists should be too. 🎧👂


Mr Gaurav Kumar

Consultant Ear Nose Throat Surgeon

Book appointment

07494914140

Book Online





 

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