In strict, technical terms, ejectives are glottalic egressive consonants. The most common ejective is [k’], as it is easy to raise the necessary pressure within the small oral cavity used to pronounce a [k]. In proportion to the frequency of uvular consonants, [q’] is even more common, as would be expected from the very small oral cavity used to pronounce a [q]. [p’], on the other hand, is quite rare. This is the opposite pattern to what is found in the implosive consonants, in which the bilabial is common and the velar is rare (Joseph Greenberg 1970). Ejective fricatives are rare for presumably the same reason: with the air escaping from the mouth while the pressure is being raised, like inflating a leaky bicycle tire, it's harder to make the resulting sound as salient as a [k’].
Language families which distinguish ejective consonants include all three Caucasian families (Abkhaz-Adyghe, Nakho-Dagestanian and Kartvelian (Georgian)); the Athabaskan, Siouan and Salishan families of North America, along with the many diverse families of the Pacific Northwest from central California to British Columbia; the Mayan family and Aymara; the Afro-Asiatic family (notably most of the Cushitic and Omotic languages, Hausa and South Semitic languages like Amharic and Tigrinya) and a few Nilo-Saharan languages; and the Khoisan family of southern Africa. Among the scattered languages with ejectives elsewhere are Itelmen of the Chukotko-Kamchatkan languages and Yapese of the Austronesian family. According to the glottalic theory, the Proto-Indo-European language had a series of ejectives, although no attested Indo-European language retains these sounds; nevertheless, ejectives are found in the Indo-European Ossetic and some dialects of Armenian; both have acquired ejectives under the influence of the nearby Caucasian language families.
It had once been predicted that both ejectives and implosives would not be found in the same language, but this is now shown to be incorrect, both being found phonemically at plural points of articulation in at least the Nilo-Saharan languages Gumuz, Me'en, and Twampa. In addition, a number of East Cushitic languages have a series of ejective consonants and a single implosive, a voiced retroflex stop.
A few languages utilise ejective fricatives: in some dialects of Hausa, the standard affricate [ts’] is a fricative [s’]; Ubykh (Northwest Caucasian) has an ejective lateral fricative [ɬ’]; and the related Kabardian also has ejective labiodental and alveolopalatal fricatives, . Tlingit is an extreme case, with ejective alveolar, lateral, velar, and uvular fricatives, ; it may be the only language with the latter. Upper Necaxa Totonac is unusual and perhaps unique in that it has ejective fricatives (alveolar, lateral, and postalveolar ) but completely lacks ejective stops or affricates (Beck 2006). Other languages with ejective fricatives are Yuchi, which in some sources is analyzed as having (note this is not the analysis of the Wikipedia article), Keres dialects, with , and Lakota, with . Amharic is interpreted by many as having an ejective fricative [s’], at least historically, but it has been also analyzed as now being a sociolinguistic variant (Takkele Taddese 1992).
Strangely, although an ejective retroflex stop is easy to make and quite distinctive in sound, it is very rare. Retroflex ejective stops and affricates, , are reported from Yawelmani and other Yokuts languages, as well as Tolowa and Keresan (with only retroflex affricates); however, and the retroflex ejective affricate is also found allophonically in most Northwest Caucasian languages.
Ejective sonorants do not occur. When sonorants are written with an apostrophe, as if they were ejective, they actually involve a different airstream mechanism: they are glottalized consonants and vowels, where glottalization interrupts an otherwise normal pulmonic airstream, somewhat like English uh-uh (either vocalic or nasal) pronounced as a single sound.