Echo in the ear when speaking is considered to be caused by cerumen mass blockage, secretory otitis media or abnormal opening of the eustachian tube and other diseases, and it is recommended that the patient go to the hospital in time to clarify the cause of the disease. Treatment includes ear canal cleaning, medication and surgery. 1. Cerumen impaction: Echoing in the ear may be caused by cerumen impaction, and the ear canal can be thoroughly cleaned with the help of a doctor to keep the ear canal clean and unobstructed, which will help to improve the symptoms. 2. Secretory otitis media: it may be caused by the dysfunction of the eustachian tube, local infection of the middle ear, metamorphosis, air pressure injury and other reasons. Patients can follow the medical advice to apply cefuroxime, roxithromycin and other anti-infection. Nasal spray hormone, such as mometasone furoate nasal spray to open the Eustachian tube. If necessary, the tympanic membrane puncture fluid extraction, or tympanotomy tube placement. 3. Abnormal opening of the eustachian tube: the cause of this disease is not clear, may be due to mechanical factors (such as the Secretary for the opening of the eustachian tube muscle in a state of long-term hypertonicity), caused by organic factors. Patients can follow the doctor’s instructions to apply procaine, boric acid and so on. Surgery can be considered for those who are indeed caused by organic lesions and for whom medication is ineffective. If you feel an echo in your ear, it is recommended that you consult a hospital for a clear diagnosis and standardized treatment.