Rustling sound in the ears may be caused by neurotinnitus, otitis media and cerumen flakes movement. 1. Neurogenic tinnitus: When the noise in the patient’s working environment is very loud, there is a possibility of damage to the inner ear and the auditory nerve, resulting in a rustling sound in the ear, sometimes accompanied by hearing loss. 2. Otitis media: Otitis media may be caused by bacterial or viral infections. When toxins erode the inner ear, a rustling sound in the ear may occur, and some patients may also experience ear pain and pus flow and other symptoms. 3. Movement of cerumen flakes: When talking, cerumen flakes shed deep into the ear canal may stick to the eardrum, thus triggering a rustling sound in the ear. When there is a rustling sound in the ear, you should actively go to the hospital for consultation and standardized medication and treatment after clarifying the cause of the disease.