Prolonged　exposure　to　damaging　auditory　conditions　can　lead　to　significant　health　issues,　including　hearing　impairment　and　inflammation　of　the　ear　canal.　We　present　an　intelligent　multifunction　graphene　skin　patch　(GSP)　that　integrates　health　monitoring　and　high-quality　acoustic　interaction　to　address　these　challenges.　Comprising　laser-induced　graphene　(LIG),　PI　fabric,　and　Nomex　fabric,　GSP　utilizes　triboelectric　nanogenerator　(TENG),　thermosensitive　(TS),　and　thermoacoustic　(TA)　effects　to　provide　multimodal　sensing　of　external　auditory　canal　health　while　delivering　superior　audio　quality.　GSP　demonstrates　rapid　response　and　high　sensitivity　(1.286　kPa⁻¹),　along　with　remarkable　durability　(12,000　cycles)　for　precise　monitoring　of　pulse　and　temperature　variations　(4/　°C).　By　employing　pulse　density　modulation,　we　significantly　reduce　total　harmonic　distortion　from　97.6　%　to　2.98　%,　ensuring　exceptional　sound　fidelity　at　low　frequencies.　Moreover,　through　deep　learning　analysis,　the　accuracy　of　acoustic　data　processing　improved　from　47.1　%　to　98.2　%.　GSP＇s　multifunctionality　enables　an　integrated　health　monitoring　and　warning　system,　enhancing　human-machine　interaction.　This　innovative　approach　not　only　bridges　the　gap　between　monitoring　and　rehabilitation　but　also　sets　a　novel　standard　for　wearable　health　solutions.　©　2025　Elsevier　Ltd