For those of us in the cold water a lot or even on the water, maybe we should consider wearing ear plugs? Over the years there may be subtle changes to the ear canal. Surfer's ear is actually a small bit of bone growth that is caused by temperature changes in the ear canal either by wind or cold water. Surfer's are prone to this because they are more frequently in the water - but it is not clear how much is a lot. A key factor is the coldness of the water. Wind is another factor combined with water splash.
Check out this site:
http://www.surfmuff.co.uk/surfers_ear.html
An ear plug keeps a warm pocket of air in the canal blocking cold water and air out without loss of hearing and balance.
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