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What is a leading explanation for ringing ears after a loud concert?

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Answer: Noise alters hearing signals, and the brain generates a phantom sound

Noise heats the earwax until it expands and produces a ringing tone — Concert noise does not make earwax expand and generate a tone through heating. Earwax blockage can sometimes contribute to tinnitus, but that is a different mechanism. After loud noise, changes in the hearing system are a leading explanation for the phantom sound.

Sound waves remain trapped in the ear and keep bouncing afterward — Sound waves do not stay trapped in the ear after the music ends. Their energy dissipates, while activity in the hearing system can still produce a phantom sound. Tinnitus is therefore not an echo that needs time to escape.

Noise alters hearing signals, and the brain generates a phantom sound ✓ — A leading theory is that altered input from the inner ear changes activity in the brain's hearing pathways, producing a sound without an external source. Loud noise can injure the inner ear, including its sensory hair cells, but tinnitus is not simply damaged cells playing a tone. The exact mechanism is not fully understood, and ringing can be temporary or persistent.

Go deeper: Tinnitus · Cochlea · Hair cell
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