The presence in childhood of tinnitus is still a neglected problem both in pediatric and otorhinolaryngological literature, even if it is not uncommon in the pediatric population. In fact its incidence ranges from 13 to 29% in children with normal hearing function and is reported in 59% of children with hearing loss. Even if a child does not mention the existence of tinnitus, nevertheless, it may cause difficulties in concentration and bring about behavioral problems such as irritation, nervousness and deterioration in the lingual capacity. It is recommended to perform standardized studies regarding pediatric tinnitus. First of all, an accurate medical history must be performed asking specifically about tinnitus. Then it is necessary to perform an audiological examination that includes the subjective description and the following audiometric tests, pure tone audiometry; tympanometry; and tinnitus measurements.