A paper-thin ringing sound when pulling out the ear may be related to nerve tension, cerumen fragments, touching the tympanic membrane and so on. 1. Nervousness: if you do not have enough sleep, often stay up late; excessive stress causing anxiety, depression, etc., may lead to nervousness, and when you touch the sensitive nerves when pulling out the ears, you will have the illusion of paper-thin ringing sound. 2. Cerumen debris: When there is cerumen debris in the ear, the patient may feel a paper-thin ringing sound when pulling out the ear. 3. Foreign objects touching the tympanic membrane: when there are bugs flying into the ear or when the ear-digging spoon and other objects touch the tympanic membrane when pulling out the ear, the patient may feel a paper-thin ringing sound. There is a paper-thin ringing sound in the ear, if the symptoms do not get better or more serious, it is recommended to consult a doctor in a timely manner to identify the causes of the targeted treatment in accordance with the doctor’s instructions.