Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain it seems that continuous ringing and hissing sound in the ears that is occurring since years seems to be due to Tinnitus.. Tinnitus and Vertigo can occur due to causes like chronic ear infection, perforated eardrum, Eustachian tube dysfunction, Meniere s disease, TMJ disorders, Acoustic Neuroma etc. Tinnitus is not a disease in itself but it is a symptom that indicates that there is some underlying illness.. I would suggest you to consult an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations like Audiometry, x Ray MRI can help in diagnosis and treatment can be done accordingly. In case if ringing does not resolve then you can be advised medicines like Tricyclic Anti-depressant like Amitryptiline, anti anxiety medication like Alprazolam, as well as Multivitamin supplements can be advised.. White noise devices can be advised.. You can also be advised Neuromodulation.. Avoid exposure to very loud sounds and also avoid diving, swimming etc. Avoid sudden jerky movements of the neck.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora.