Neurogenic tinnitus is associated with rhinitis. The spread of causative viral or bacterial infection in acute rhinitis can cause middle ear disease, tinnitus and hearing loss. Acute rhinitis is often caused by viral or bacterial infection causing acute inflammation of the nasal mucosa, which can lead to dryness, itchiness, sneezing, runny nose, nasal congestion, and other nasal symptoms. When the infection spreads to the middle ear through the Eustachian tube, it can cause acute otitis media, resulting in a sense of blockage of the ear and a feeling of stuffiness and discomfort, and in some cases, it can cause sensorineural tinnitus due to toxins that enter the inner ear through the cochlea window or vestibular window. When rhinitis occurs, we should actively seek medical advice and standardize the use of medication and treatment under medical advice to avoid secondary neurotinnitus.