INTRODUCTION: Tinnitus is a self debilitating symptom of a cochlear dysfunction. Various treatment outlines have been used since time immemorial for its treatment. Intratympanic steroid injection for the treatment of tinnitus has been tried for over fifteen years. Several studies have been done to bring forward various treatment aspects of tinnitus. Various drugs like Alprazolam and vitamins, like Vitamin B 12 have also been used in the treatment of tinnitus. METHODOLOGY: A clinical based experimental study was carried out in ENT OPD of State Medical College, among patients visiting with tinnitus. Out of the 120 patients, 60 were given intratympanic dexamethasone, once every week for 4 weeks, and the rest 60 were given oral drugs for a month. The patients were followed up after 1 month and 3 months respectively. All the patients were asked to fill a questionnaire (Tinnitus Handicap Inventory severity scale) before starting the treatment and were compared with the results of the questionnaire after the treatment was over. RESULTS: Patients who were treated with IT dexamethasone, significant improvement was seen (p= 0.00) as compared to those who were given oral drugs (p= 0.621). CONCLUSION: Intratympanic injection has significant role for treatment of tinnitus . Early the intervention better is the outcome. Patient with severe degree of tinnitus showed minimum improvement.