Fluttering tinnitus can be seen in vascular malformation, hypertension, diabetes mellitus, psychological disorders and other diseases, but also may be a physiological phenomenon, it is recommended that the first consultation in the otorhinolaryngology or otorhinolaryngology, and after the identification of the cause of the diagnosis can be transferred to the relevant departments, such as neurosurgery, cardiology, endocrinology, and so on. 1. If the pulsatile tinnitus is caused by vascular malformation, such as jugular vein bulb elevation, arteriovenous fistula, etc., the patient can be referred to neurosurgery department for treatment after the etiology is identified and diagnosed by ENT Head & Neck Surgery Department. 2. Tinnitus caused by hypertension and atherosclerosis can be referred to cardiovascular medicine after the etiology is clearly diagnosed by ENT head and neck surgeons. 4. Diabetes mellitus, hyperthyroidism or hypothyroidism patients often have tinnitus due to hemodynamic abnormalities, and can be referred to endocrinology after the etiology is clearly diagnosed by ENT head and neck surgery. 5. Under the guidance of ENT head and neck surgeons to improve the relevant examination except organic lesions, can be considered as physiological tinnitus, often due to emotional tension, stress or overwork, should pay attention to rest, a healthy lifestyle can be this symptom. Tinnitus patients, it is recommended to go to the hospital as soon as possible to the Department of Otorhinolaryngology, improve the relevant examination to determine the cause of the disease before deciding on the treatment program.