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, g...
Ossicular Reconstruction (Ossiculoplasty) Patient Information Leaflet 1. Why am I being offered ossicular reconstruction? You have hearing loss caused by damage or disruption to the ossicles — the three tiny bones in the middle ear ( malleus, incus, and stapes ) that transmit sound from the eardrum to the inner ear. This damage may be due to: Chronic ear infections Cholesteatoma Previous ear surgery Long-standing eardrum perforation Trauma or erosion of the hearing bones Ossicular reconstruction (ossiculoplasty) is a surgical procedure designed to improve hearing by rebuilding this sound-conduction mechanism. 2. What is ossicular reconstruction? Ossiculoplasty involves repairing or replacing one or more of the hearing bones using either: Your own tissue (e.g. reshaped ossicles or cartilage), or A biocompatible prosthesis (most commonly titanium) The operation is usually performed alongside: Eardrum repair (tympanoplasty), and/or Mastoid surgery (especially if cholesteatoma i...