Tinnitus is a sound originating in the ear, such as ringing, buzzing, humming, whistling, booming, hissing, tapping, gurgling or pulse-like sounds, not originating from external sources, and is the main symptom of cochlear and auditory neuropathy. Tinnitus is very common clinically and consists of two main types: tonal and non-tonal. Tonal tinnitus, which originates in the middle or inner ear, is most common and is also called subjective tinnitus, which can only be heard by the patient. Non-tonal tinnitus, sometimes called objective tinnitus, can be heard by both the patient and the examiner. The head noise originates mechanically and can be transmitted to the inner ear through various soft and hard structures or liquid and gaseous media of the body. The most common manifestation is that the patient hears subjective tinnitus, where the sound originates from the vortex of the large blood vessels in the neck and the patient feels that the sound is pulsatile, but the examiner can rarely examine the sound complained by the patient.