Tinnitus with cicadas sound may be related to physiological factors, or it may be caused by blockage of the ear canal, neurogenic tinnitus and other reasons. 1. Physiological factors: such as recent psychological stress, emotional tension, overwork, etc., resulting in poor rest and insufficient sleep, may cause tinnitus, cicada sound. 2. Ear canal blockage: usually caused by foreign bodies in the external ear canal, cerumen embolism, trauma and other factors, when the ear canal is blocked, it may cause tinnitus and cicatricial ringing of varying degrees, and may be accompanied by symptoms such as ear stuffiness, swelling and pain. 3. Neurogenic tinnitus: it may be caused by cochlear vascular lesions, otosclerosis, Meniere’s disease, etc.; it may be caused by auditory neuropathy, such as acoustic neuroma; and central nervous tinnitus, such as the brain and other central nervous system lesions. Typical symptoms of patients are tinnitus, cicadas sound, also can be accompanied by vertigo, hearing loss and other manifestations. Tinnitus with cicadas may also be caused by other reasons, it is recommended to consult a doctor as soon as possible to clarify the diagnosis and follow the doctor’s instructions for treatment.