Otolithiasis is a relatively common otolaryngological disease, with clinical symptoms mainly manifested as vertigo. Some patients may experience nausea and vomiting, but it generally does not lead to tinnitus. There are many causes of tinnitus, with neurological causes being common, and it may also be due to inflammatory responses. Therefore, after the occurrence of otolithiasis accompanied by tinnitus, it is necessary to visit an otolaryngologist. Tests such as positional experiments, audiometric testing, and endoscopic examination of the ear can help determine the specific cause of the disease and the extent of the condition, after which targeted treatment can be administered. Regular follow-ups are needed during the treatment process to monitor the effects.