Echoing buzzing in the ear may be caused by traumatic tympanic membrane perforation, secretory otitis media and cerumen impaction. 1. Traumatic tympanic membrane perforation: If the patient’s ear is slapped or injured by pneumatic pressure, causing traumatic tympanic membrane perforation, it will lead to the phenomenon of echo buzzing in the patient’s ear. 2. Secretory otitis media: If the patient has upper respiratory tract infection, the inflammation may spread to the middle ear along the eustachian tube, causing exudative inflammatory lesions in the middle ear cavity, leading to accumulation of fluid in the middle ear cavity, which will lead to the symptom of echo buzzing in the ear. 3. Cerumen embolism: Cerumen embolism can lead to blockage of the external auditory canal due to excessive cerumen secretion or obstruction of cerumen discharge. If the cerumen is close to the tympanic membrane, it may cause the patient to have echo buzzing in the ear. When patients have echo buzzing in the ear, they should go to the hospital in time for relevant examination and treatment according to the specific situation.