The ringing of the ears when exhaling may be due to perforated eardrum, abnormal opening of the Eustachian tube and other reasons. 1. Tympanic membrane perforation can be categorized into otitis media perforation and traumatic perforation. Perforated eardrum in otitis media means that the eardrum is infected by inflammation and ruptured. Usually, there is pain in the ear at first, and the pain will be reduced after the eardrum is perforated, when there is purulent fluid coming out of the ear, accompanied by the above mentioned symptoms. It is recommended to use antibiotics under the supervision of a doctor for treatment. Traumatic tympanic membrane perforation is due to direct or indirect external force on the tympanic membrane, resulting in perforation and rupture of the tympanic membrane, the ear will produce severe pain at the moment of perforation, tinnitus with sudden loss of hearing, and in the perforation of a period of time in the ear when breathing there will be a whirring sound, it is recommended that timely diagnosis and treatment in the hospital. 2. Abnormal opening of the Eustachian tube means that the Eustachian tube is open for a long time, which may cause excessive sound conduction and may be accompanied by stuffy ears and tinnitus. There may be other possibilities for the ears to whistling when exhaling, so it is recommended that the patient seek medical treatment in time and standardize the treatment.