Outer ear
The visible part of the ear and the ear canal collect sound waves and direct them to the eardrum. Earwax is also produced here; it protects the skin of the canal.
An independent guide to hearing and how to protect it. It is not medical advice or a clinic, does not promote any treatments and is not connected with the former website on this domain.
Topics
Hearing is easiest to understand in four parts: how the ear works, what affects it every day, how children's hearing differs and which problems are most common. Each card leads to a section where the topic is covered in more detail.
The ear is not only an organ of hearing but also a delicate measuring instrument. Its cells cannot rest on their own, so it is up to us to give them a break.
How this section works: we describe how the ear works and everyday situations in which hearing needs protecting. We do not discuss diseases, name medicines or assess treatments — for any complaint, see an ENT doctor or an audiologist.
The ear has three parts, and each has its own job: to catch sound, amplify it and turn it into a signal for the brain.
The visible part of the ear and the ear canal collect sound waves and direct them to the eardrum. Earwax is also produced here; it protects the skin of the canal.
Behind the eardrum are three tiny bones. They pass the vibrations on and amplify them slightly.
In the cochlea, hair cells turn vibrations into nerve signals. In humans, damaged hair cells do not recover, so it is important to look after them.
The signal travels along the nerve to the brain, which recognises speech, music and where a sound is coming from. In the end, we hear with our brain.
Loud sound wears out the sensitive cells of the inner ear. Both how loud a sound is and how long it lasts matter.
The louder the sound, the less time you can listen to it without harm. Clear reference points are set out in the WHO–ITU standard.
On a noisy train it is tempting to turn the sound up to drown out the rumble. That is exactly how the volume quietly creeps into the danger zone.
Noisy venues put a heavy load on your ears in a single evening. Earplugs and breaks somewhere quiet noticeably reduce the risk.
Children's hearing is more sensitive than adults', and a child cannot always tell you that something is too loud.
For children, the standard uses a reference of 75 dB(A) for 40 hours a week — lower than for adults.
It is worth checking loud toys and headphones without a volume limit yourself: hold them to your own ear and judge the sound.
Children's hearing is checked at routine check-ups. If a child does not respond to their name or starts talking late, tell the doctor.
Here are situations in which it is better not to wait but to see a specialist, along with tips on how to make decisions.
Brief ringing after a concert is a sign of overload. If the ringing lasts, keeps coming back or keeps you awake, see a doctor.
If you suddenly lose hearing in one or both ears, see a doctor urgently rather than waiting for it to pass on its own.
There is no need to clean deep inside your ears with cotton buds: it is easy to push the wax further in. If an ear feels blocked, a doctor should examine it.
If someone offers you an unusual way to “improve your hearing”, it helps to know which questions to ask before you decide.
Extra methods (in Russian)
This is where we will gather standalone articles, written for English-speaking readers, about hearing, everyday noise and caring for your ears at every stage of life.
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How hearing is tested, how it is protected and how specialists help people with reduced hearing.
Hearing words in plain language: from the eardrum and the decibel to audiometry.
Questions about headphones, noise, children's hearing and hearing tests that are useful to ask your doctor.
This guide summarises generally accepted information about hearing as of the date it was prepared. Recommendations from international organisations are updated from time to time, and decisions about your own hearing are made together with a doctor after an examination.