How to Perform a Thyroid Examination
How to Perform a Thyroid Examination Clinically Reviewed by Dr. Andrew Stein MD, Consultant Physician. Last updated: April 2026 A thyroid examination is a specialised assessment used to evaluate the t...

The human ear is an architectural marvel. While we most commonly associate ears with the sense of hearing, they are equally responsible for our sense of balance and spatial orientation. Without the complex machinery hidden inside your skull, you would not be able to stand upright, let alone communicate with the world.
To understand what the ear does, we must look at its three distinct sections:
Outer Ear: The visible part (pinna) and the ear canal.
Middle Ear: The eardrum and the three smallest bones in the human body (ossicles).
Inner Ear: The snail-shaped cochlea and the fluid-filled semicircular canals.
The primary function of the ear is to convert sound waves into electrical signals that the brain can interpret. This is a multi-step mechanical process:
Collection: The outer ear acts as a funnel, catching sound waves and directing them down the ear canal.
Vibration: These waves hit the tympanic membrane (eardrum), causing it to vibrate.
Amplification: The middle ear bones—the malleus (hammer), incus (anvil), and stapes (stirrup)—amplify these vibrations.
Translation: In the inner ear, the cochlea is filled with fluid and lined with thousands of tiny hair cells. As the fluid moves, it triggers these hairs to send electrical impulses through the auditory nerve to the brain.
Your ears are your body’s internal gyroscope. Located in the inner ear is the vestibular system, which consists of three semicircular canals.
Fluid Motion: These canals are filled with fluid that shifts whenever you move your head.
Position Sensing: Tiny sensors detect the movement of this fluid and send “position reports” to your brain. This allows you to maintain your balance whether you are walking, turning, or tilting your head.
Beyond basic balance, the ears help the brain understand where the body is in relation to its surroundings. This function works alongside your vision and your “muscle sense.” It is the reason you can tell you are moving in an elevator even if your eyes are closed.
Have you ever felt your ears “pop” on a plane? This is the work of the Eustachian tube, a narrow passage that connects the middle ear to the back of the nose.
Function: It opens periodically to equalize the air pressure between the atmosphere and the middle ear.
Protection: Proper pressure prevents the eardrum from bulging or retracting, which protects it from rupture and ensures sound can travel clearly.
The outer ear canal serves a protective role for the delicate eardrum.
Cerumen (Earwax): The ear produces wax to trap dust, bacteria, and small foreign objects.
Self-Cleaning: The skin in the ear canal actually grows outward in a spiral, slowly carrying old wax and trapped debris out of the ear.
When these systems fail, it can result in:
Tinnitus: A persistent ringing or buzzing sound, often caused by damage to the hair cells in the cochlea.
Vertigo: A sensation of spinning caused by issues in the vestibular system (inner ear).
Otitis Media: A middle ear infection, common in children, which can temporarily impair hearing.
| Function | Primary Part Involved | Result of Impairment |
| Hearing | Cochlea & Ossicles | Hearing loss or deafness |
| Balance | Semicircular Canals | Dizziness or Vertigo |
| Pressure Control | Eustachian Tube | Ear pain or “clogged” feeling |
| Protection | Ear Canal & Wax | Infections or wax impaction |
How to Perform a Thyroid Examination Clinically Reviewed by Dr. Andrew Stein MD, Consultant Physician. Last updated: April 2026 A thyroid examination is a specialised assessment used to evaluate the t...
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