Due to the lack of medical knowledge or misconceptions, some patients often delay the best time to treat the disease, resulting in lifelong regrets. Sudden tinnitus manifests as buzzing in the ears and hearing loss A distinctive feature of sudden deafness is the sudden onset of hearing loss, which makes the ears feel like a layer of paper and the patient feels distant. Many patients with deafness also experience tinnitus, and in severe cases, dizziness, nausea and vomiting. The cause of the disease is still not well understood. Some patients have had a cold before the onset of the disease, which may be a viral infection that causes damage to the hair cells in the inner ear. Some may be due to spasm of small blood vessels in the inner ear or small thrombosis, causing ischemia in the inner ear and resulting in damage to the hair cells. Chronic fatigue may also be a trigger for sudden tinnitus and deafness. There are also some patients for whom no obvious cause can be identified. Sudden tinnitus and deafness are mainly associated with damage to the hair cells in the ear. The hair cells are the inner ear hearing sensors that convert the mechanical energy of sound waves into biological electrical energy that is transmitted to the brain to produce hearing. According to animal tests, hair cells in mammals go from lesion to necrosis in about 3 to 4 weeks. In clinical practice it is generally considered 2 to 3 months. Once a hair cell is necrotic, there is no way to regenerate it. Therefore, it is necessary to treat the auditory hair cells before they become necrotic. The key to sudden deafness is early treatment. If the diagnosis or treatment is delayed, it is difficult to achieve good results once the hair cells suddenly die. Since the cause of most sudden deafness is unknown, there is no specific drug available and a combination of treatments must be taken to be effective. First, a regular inpatient treatment of about 20 days needs to be adhered to. In addition to adequate rest, patients can receive intravenous medication, including vasodilators to improve blood circulation in the inner ear, and sometimes anticoagulants and thrombolytics. In addition, moderate amounts of adrenocorticosteroids are used early on to reduce edema and inflammatory damage to the hair cells and restore normal function of the hair cells as soon as possible. Hyperbaric oxygen therapy is also one of the commonly used methods. After 20 days of regular treatment, you can go home and take oral medication for maintenance treatment and follow up every 10 days or so. Generally speaking, treatment within 1 month of onset can achieve good results, and sometimes treatment needs to be adhered to for about 2 months, and about 1/3 of patients can recover their hearing. Sudden deafness usually fixes the degree of hearing after 2 months, but a few patients who insist on taking medication for another 2 to 3 months may have some progress in hearing. If there is no progress, hearing recovery is less likely and sometimes there is a legacy of troublesome tinnitus that is difficult to cure. Some patients think it is a minor disease and do not cooperate with the treatment and do not take the medication on time. Patients can only help the treatment and hearing recovery by cooperating with the medication, ensuring rest and adjusting their emotions. Some patients are more anxious, and after 1 week of treatment, they can’t wait to change hospitals and keep changing medication because there is no significant effect, which may delay the regular treatment. More than 90% of sudden deafness is a partial or total loss of hearing unilaterally, and a few are bilateral. Sudden deafness in one ear does not usually affect the other side. But then again, if one side of the deafness is not healed, it is important to pay attention to the hearing protection of the opposite ear. Patients should take the initiative to tell their doctors that they have a hearing impairment, regardless of which department they visit, so that they will be careful with aminoglycosides such as gentamicin, kanamycin and other ototoxic drugs; they should stay away from strong noise and firecrackers in general. And actively prevent colds and combat otitis media. This is the only way to prevent the problem before it happens. The earlier the treatment of sudden tinnitus and deafness, the better the effect; the treatment should go to a regular hospital to avoid lifelong regrets!