Otolithiasis does not usually cause tinnitus. Clinically, otolithiasis is characterized by transient rotational vertigo and vomiting. Otolithiasis usually does not cause tinnitus, which is usually a phenomenon caused by damage to the auditory nerve and hearing organs. Examples include middle ear lesions, sudden deafness with vertigo, and Meniere’s disease. Otolithiasis is an irritation caused by the dislodgement of otoliths from the balloon of the oval sac into the semicircular canals. Also known as benign paroxysmal positional vertigo, otolithiasis is mainly characterized by transient vertigo that usually lasts for a few seconds when there is a sudden change in the position of the body and head. Therefore, when tinnitus symptoms occur in patients with otolithiasis, they should consult a doctor in time, under the guidance of a professional doctor, to clarify the cause of the diagnosis and treatment.