Background: Tinnitus has been shown to be strongly associated with anxiety and depression. The present study was conducted to assess tinnitus in patients with internal derangement of TMJ. Materials & Methods:170 patients with complaint of tinnitus referred for arthrographic examination of the TMJ were enrolled in the study. Disk positions were diagnosed as normal superior position, anterior disk displacement with reduction or anterior disk displacement without reduction. Symptoms such as tinnitus and blockage sensation in the ear was recorded. Tinnitus was recorded as absent or present Results: Out of 170 patients, males were 100 and females were 70. Tinnitus was present in 130 and absent in 40. Location of pain was TMJ in 80, lower lateral face in 20, bac of eye in 10 and temporal region in 20 cases. Other findings were painful chewing in 35, stressful life in 42, limited mouth opening in 78 and bruxism in 40 cases. The difference was significant (P< 0.05). Conclusion: There was high rate of tinnitus in patients with internal disc derangement of TMJ.