srjcmsSRJCMSSRJCMS2788-8851https://doi.org/10.47310/srjcms.2025.v05i01.023Ringing in the Pandemic's Wake: Tinnitus Trends, Therapeutic Innovations and Long-Term Implications of COVID-19Tinnitus, a persistent perception of sound in the absence of an external source, has gained significant attention during the COVID-19 pandemic due to its increasing prevalence and severity. This review examines tinnitus incidence before, during and after COVID-19, analyzing global and Indian epidemiological trends. Pre-pandemic, tinnitus affected approximately 10-15% of individuals worldwide, with regional variations. During COVID-19, an increased incidence was reported, with factors such as viral neurotropism, inner ear damage, stress and social isolation contributing to its worsening. Post-COVID-19, many individuals continue to experience persistent tinnitus, highlighting the long-term auditory implications of the virus. This review evaluates various management strategies, including Tinnitus Retraining Therapy (TRT), which has shown an 80% success rate, Hyperbaric Oxygen Therapy (HBOT), which benefits acute cases but lacks efficacy for chronic tinnitus and alternative approaches such as Cognitive Behavioral Therapy (CBT), sound therapy, medications and hearing aids. Disparities in healthcare accessibility, particularly in developing regions, emphasize the need for telehealth interventions and improved tinnitus treatment policies. Future research should focus on the long-term auditory effects of COVID-19, innovative treatment options and enhanced accessibility to evidence-based tinnitus therapies.