Tinnitus in children may be related to physiological factors, or it may be a symptom of some diseases such as otitis media, cerumen impaction, hyperthyroidism and so on. 1. Physiological factors: excessive mental stress, prolonged exposure to noise, and sleep deprivation can lead to tinnitus and hearing loss. Staying away from noisy environments, getting enough sleep, and actively exercising can effectively alleviate the symptoms. 2. Pathological factors: secretory otitis media can cause increased fluid accumulation in the tympanic chamber, increased negative pressure, perforation of the tympanic membrane and even invasion of the inner ear, which can lead to tinnitus in children. When excessive cerumen causes complete blockage of the external auditory canal, the patient may experience pulsatile tinnitus, hearing loss and other symptoms. Hyperthyroidism can cause high levels of thyroid hormones, leading to sympathetic over-excitement which results in tinnitus. Children with frequent tinnitus may also have other causes, it is recommended to go to the hospital in time to improve the examination to clarify the cause of the disease, under the guidance of the doctor to give targeted treatment or treatment.