Speaking with an echo in one ear may be caused by secretory otitis media, or abnormal Eustachian tube opening, otitis externa, etc. General treatment, medication and surgery can be taken to relieve the symptoms according to the disease. 1. Secretory otitis media: Cefuroxime and other anti-infective treatment can be used, assisted by dexamethasone, prednisone and other relief of inflammation. In severe cases where conservative treatment is ineffective, tympanic membrane puncture or tympanotomy can be performed. 2. Abnormal Eustachian tube opening: mix boric acid powder with salicylic acid powder at the ratio of 4:1, and blow it into the Eustachian tube and around its opening through the Eustachian tube catheter to alleviate the symptoms temporarily. For those who are indeed caused by organic lesions and are not effective in the above treatment, palatofacial tensor relaxation can be performed. 3. Inflammation of the external auditory canal: a tampon soaked with 10% ichthyol glycerin can be applied locally. If the external auditory canal is swollen and oozing, a tampon soaked with 5% to 8% aluminum acetate can be applied to the external auditory canal. Remove secretions or scabs before medication, and supplement the whole body with vitamin A treatment. Single ear speech echo, there may be other diseases, it is recommended to go to the hospital in a timely manner, improve the examination to clarify the cause of the disease, to give targeted treatment or treatment. All of the above medications should be used under the guidance of a doctor.