When the treatment is not effective, the prognosis should be analyzed, indicating that most tinnitus patients have a good transition and that tinnitus can be reduced or unnoticed when they are stressed at work or engaged in their favorite job, which means that tinnitus does not affect the real quality of life and work. Patients learn to live with tinnitus, acknowledge it, accept it, and thus “live with” it. This greatly reduces the psychological barrier and stress, so that the tinnitus will no longer be a constant problem, and the goal of treatment will be achieved. This cognitive therapy process can take a long time, and if possible, a group of tinnitus patients can be established to communicate with each other and increase the effectiveness of the treatment. Biofeedback therapy is actually a combination of relaxation training therapy and biofeedback techniques. Tinnitus is a disease associated with a state of tension. Through relaxation training, the various muscle groups in the body are relaxed in turn to achieve relaxation of the nervous system and reduce or release the tension. You can use some electronic instruments, such as myoelectric feedback instrument, skin humidity feedback instrument and EEG feedback instrument, to collect physiological information in the body and then display it on the monitor. Train yourself according to the signals of this feedback to achieve the desired purpose. Tinnitus patients can use this method and insist on daily training with the aim of making the muscles and mental state relaxed, emotionally happy and not burdened with thoughts. Biofeedback therapy is generally more effective than relaxation training alone. Biofeedback training is usually carried out in a quiet and comfortable treatment room with the patient lying or sitting in a comfortable position, with loose clothing, belt unfastened, legs uncrossed and eyes closed. The patient raises the forehead, frowns, closes the eyes with force, and then relaxes, observing the instrument and listening to the feedback tone changes. Breathing should be natural and even, preferably with abdominal nasal breathing, excluding distractions, recording for 5 minutes, adjusting the feedback signal so that the patient gets 70% of the positive signal of self-controlled relaxation. It can be practiced at home, 1-2 times a day for 10-30 minutes each time, 10 times per session, and later 2-3 times a week for 3 months. The patient’s tension is reduced or disappears, while making the tinnitus easily tolerated, and the efficiency of the treatment can reach 54%. The psychological treatment of tinnitus is a more effective treatment, and combined with biofeedback therapy, it helps to improve the efficacy of the treatment, especially for patients with “nervousness”, and the most significant value of the treatment is that some tinnitus patients who have not been treated well with medication and who have not been cured for a long time can get rid of their anxiety and return to normal life. The most significant value of the treatment is that it enables some patients with tinnitus that has not been treated with medication and has not resolved for a long time to return to a normal life and live with their tinnitus. Wislson first used noise masking for tinnitus in 1893, Jones and Knudsen first used tinnitus masking devices in 1928, and Vernon first used a hearing aid-like device in 1977 to begin treating tinnitus clinically with masking therapy. Masking therapy remains one of the most effective methods of tinnitus treatment to date. To achieve success in masking therapy, the following points should be noted: 1. The patient’s tinnitus tone can be easily and accurately measured. 2. The masking frequency band is at or close to the tinnitus main tone, and complete masking can be achieved at low intensity. 3. The acoustic characteristics of the masked sound are easily accepted by the patient, and the patient sounds comfortable, relaxed and feels relieved. Tinnitus patients who meet the above points can easily receive masking treatment. There are different types of tinnitus masking devices available, and hearing aids can be used as masking devices, mostly for tinnitus with high frequency hearing loss. Tinnitus medication For tinnitus in the otolaryngology category, tinnitus-reducing medications and tinnitus-suppressing medications are used. (1) Drugs to reduce the effects of tinnitus: mainly anti-anxiety and antidepressant drugs, such as Sulezade. Metriazolam, etc. (2) Tinnitus-inhibiting drugs: Lidocaine blocks the abnormal discharge rhythm and inhibits tinnitus. Other commonly used drugs are anticonvulsants, antiepileptics, etc. (3) Clinically, some drugs to improve microcirculation and drugs to nourish nerves are also commonly used with certain efficacy. Surgical treatment Surgical excision of the lesion or ligation of the blood vessel causing tinnitus is effective in relieving or alleviating tinnitus: for example, intra-drum steroid treatment, tympanic chamber exploration, etc. For refractory tinnitus, cochlear neurectomy can be used. Surgery should only be considered for those who have lost their hearing and conservative treatment has not worked, and when surgery has become the only treatment option. Neurovascular decompression, etc. As a common clinical symptom, tinnitus still plagues many patients. The efforts of many scholars and the progress of various related disciplines have advanced the research about the mechanism of tinnitus, objective detection means, and treatment measures, but because of the many causes of tinnitus and the wide range of causes involved, it is difficult to capture the records objectively, so the current understanding of tinnitus is still very unsatisfactory, especially the search for a special treatment for the ear needs to continue in-depth research for a long time.