“…Other patients, who were complaining of severe pain in the ears on ring, as the result of a previous blast injury, found that cotton wool or rubber defenders would not prevent it. Suggit 1 and Taylor 2 also consider that cotton wool does not provide full protection; and the latter refers to moulded and soft rubber defenders as being more ef cient. The ideal defender should protect the middle and inner ear from blast and excessive noise, but should not interfere unduly with the hearing of orders given directly by mouth, or, through head phones or loud speakers.…”