A pulsating sound in the ear may be caused by vascular pulsatile tinnitus causing the patient to feel a pulsating sound. Common diseases include jugular vein globe tumor, intracranial and extracranial vascular malformations and other causes, which can be eliminated using surgical treatment. 1. Jugular vein globe tumor: after identifying the cause of the disease, surgical resection or radiation therapy, or surgery plus radiation therapy, is used depending on the extent of the lesion. 2. Head and neck vascular malformation, arteriovenous fistula: it can be treated by rerouting of blood vessels, ligation, molding, selective arterial embolization or endovascular stenting according to the situation. It is recommended that patients go to the hospital for a comprehensive examination to clarify the cause of the disease, and then standardize the treatment under the guidance of the doctor.