Tinnitus is an extremely vexing issue, not only for patients but also for otolaryngologists. The authors of this article review the causes of venous tinnitus, such as increased intracranial hypertension (IIH), dural venous sinus thrombosis and age-related anatomic variants. They suggest endovascular therapy including stenting the lateral sinus stenosis in IIH and TSS (transverse sinus stenosis), coiling of the SSWA (sigmoid sinus wall anomalies) and JVA (jugular vein anomalies) and embolisation of the emissary vein anomalies. Does this mean resurfacing of the sigmoid sinus will be rarely required? It appears advances in endovascular therapies may help us to treat at least venous causes of tinnitus and alleviate symptoms in these patients.