Severe tinnitus may be caused by cerumen impaction, neurogenic tinnitus, acoustic neuroma, otitis media and other conditions. 1. Cerumen impaction: It is usually caused by deterioration of cerumen, obstruction of cerumen discharge, excessive cerumen secretion, etc. It is also related to oily cerumen and long-term residence in nursing homes. In general, if the obstruction of the external ear canal is serious, the patient will often have a stuffy feeling in the ear, itching of the ear canal, hearing loss and other symptoms, and if the pressure stimulates the tympanic membrane, tinnitus will also occur, and can also be consistent with the pulse. 2. Neurogenic tinnitus: the pathogenesis is not entirely clear, mostly considered to be due to the ear fossa, the central auditory pathway, auditory nerve lesions or functional abnormalities caused by, and also with mental, psychological, noise stimulation and other factors. Patients will have different degrees of tinnitus, which can be cicadas, rumbling, whistling, etc. In severe cases, tinnitus can occur continuously. In severe cases, the tinnitus can be continuous, which will affect the work and rest of the patients. 3. Auditory neuroma: tinnitus on one side progressively aggravated, with varying pitch, mostly noisy sound, accompanied by hearing loss. 4. Otitis media: Both types of otitis media, secretory otitis media and suppurative otitis media, may cause tinnitus. It is recommended that patients with symptoms of severe tinnitus should consult a doctor in a timely manner, follow the doctor’s instructions to clarify the cause of the disease, and actively take targeted treatment.