An earplug is provided. The earplug includes at least a partially flexible distal end an inflatable element and a flexible anti-distal end. The anti-distal end has at least one portion that is deformable. The inflatable element is operatively attached to the distal end by an inflation channel. When the at least one portion is deformed the inflatable element expands to an adjustable pressure. At least one portion of the anti-distal end provides a pressurizing force to maintain the expansion of the inflatable element.