Whenever the night is quiet, like a million mosquitoes in the ears “buzzing”, but also like aliens whispering in the ear, but how can not hear, and can not drive away, what is going on? Obviously no one is talking to you, but always feel that there are sounds coming from the ears or head, too weird! This “buzzing” sound is tinnitus, of which acute tinnitus is the one that gets better within six months. Some acute tinnitus can be traced to the following causes: [Type I] is caused by cerumen blockage in the external ear canal (that is, blocked by earwax), inflammation of the external ear canal, etc., which causes poor sound transmission in the external ear canal, or diseases of the middle ear, such as purulent otitis media, cholesteatoma-type otitis media, etc., which cause sound transmission disorders in the middle ear, and some patients can be relieved by treating the cause. The second category] is the use of ototoxic drugs, such as quinine, salicylic acid, etc. Discontinuing these drugs may improve the tinnitus. The third category] is tinnitus caused by tumors, such as auditory neuroma. The fourth category is sound damage, such as being injured by the loud noise of the construction site, long-term in the strong heavy sound environment such as KTV, resulting in the sound transmission system of the ear can not carry, it is easy to tinnitus, at this time, on the one hand, we should stay away from strong noise occasions, on the other hand, you can use some drugs to promote recovery. The fifth type of tinnitus is caused by a bad lifestyle, such as tiredness, prolonged sleepless nights, alcoholism, etc. These patients should start by improving their lifestyles. The above are the main causes of acute tinnitus, but there are many sudden onset tinnitus that may not have any cause, then the only way to treat it is to assess the patient’s tinnitus level, frequency, and how much the patient is affected through a series of examinations and choose to use hormones, nerve-nourishing drugs, etc. If the tinnitus lasts for more than six months, it is considered to be chronic tinnitus. Chronic tinnitus is mostly tinnitus of unknown origin. These patients have often received various treatments, such as medication, acupuncture, electromagnetic physiotherapy, ultrasound therapy, etc., but still have difficulty relieving it. At this time, in order to evaluate the degree of tinnitus, doctors will assess the degree of tinnitus through questioning, physical examination and some auxiliary examinations, such as audiometric examination and MRI, and rule out some causative factors to guide the treatment. However, tinnitus is a subjective feeling that cannot be empathized with by other people or even doctors. Patients are left alone to bear a lot of mental stress, resulting in anxiety, insomnia, irritability and depression, which are often more harmful than tinnitus itself, making it difficult to sleep and eat, and affecting daily work and life. Some patients think that tinnitus does not affect their lives and they can sleep normally, while others may feel that tinnitus causes great distress to their lives and work, and may even develop negative emotions such as depression and anhedonia, which require timely intervention. Therefore, the Tinnitus Assessment Scale is very important for patients.