The problem as I understand it, is that the skin in the ears isn't really tough enough to stick something in there for too long. Reportedly US marines abandoned those linked above, as troops started bleeding from their ears after a certain number of hours of use. Now, that was probably 20 hours+ - not really a problem if used only for sleep or only for work. But for any kind of 24/7 use, something molded to the outer ears is probably better.