For simple neurotic tinnitus, it can be cured by oral medication, and surgery is generally not recommended; if it is neurotic tinnitus formed by the occupation of the internal auditory canal, surgery is the best choice, but whether the tinnitus recovers or not after the operation is uncertain, and it may also persist. 1. Simple neurogenic tinnitus: tinnitus caused by insufficient blood supply to the inner ear due to late night, mental stress, fatigue, etc. Nutritional nerve medication can be chosen, such as methylcobalamin tablets, but may cause gastrointestinal discomfort, allergies, etc., and is contraindicated in allergic patients. 2. Occupation of the internal auditory canal: such as acoustic neuroma, due to the tumor compression of the auditory nerve, cochlear nerve, cochlear blood supply involvement, tinnitus, accompanied by hearing loss, etc. Surgical resection is the best choice for treatment, but the tinnitus may persist due to the damage of the nerves after the operation. If tinnitus occurs, it is necessary to consult a doctor in time to avoid the development of hearing loss or even deafness, and should follow the doctor’s instructions to standardize the use of medication and active treatment.