Author ORCID Identifier

Susan Voss: 0000-0002-3937-8145

Aaron Remenschneider: 0000-0003-0989-6264

Soomin Myoung: 0009-0004-9956-9455

Nicholas J. Horton: 0000-0003-3332-4311

Document Type

Article

Publication Date

2025

Publication Title

Trends in Hearing

Abstract

This study provides a comprehensive analysis of ear canal geometry from 0.7 to 91 years, based on high-resolution computed tomography scans of 221 ears. Quantified features include cross-sectional areas along the canal’s length, total canal length, curvature, and key anatomical landmarks such as the first and second bends and the cartilage-to-bone transition. Significant developmental changes occur during the first 10 years of life, with adult-like characteristics emerging between ages 10 and 15 years, likely coinciding with puberty. Substantial interindividual variability is observed across all ages, particularly in the canal area. The canal becomes fully cartilaginous at and lateral to the second bend by 0.7 years, with further growth occurring only in the bony segment thereafter. These anatomical findings have important implications for audiologic threshold assessments, wideband acoustic immitance measures, age-appropriate hearing aid fitting schedules, and surgical planning, particularly in pediatric populations where anatomical variation is greatest.

Keywords

ear canal anatomy, ear canal development, wideband acoustic immitance (WAI), hearing-aid fitting

Volume

29

First Page

1

Last Page

22

Creative Commons License

Creative Commons Attribution-NonCommercial 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

Rights

© The Author(s) 2025

Version

Version of Record

Included in

Engineering Commons

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.