Sensorineural hearing loss is a common clinical disease in otology,which is hearing loss or hearing loss caused by cochlea,auditory nerve or auditory center organic lesions,and its incidence is related to genetics,age,noise exposure,ototoxic drugs and other factors,and the current incidence is increasing year by year and showing a younger trend.Metabolomics is a life science research that uses high-throughput omics technology to identify and quantify all metabolites,and has been applied to the pathophysiological mecha-nism of the inner ear in recent years,metabolomics provides new ideas for etiological exploration from the perspective of metabolic changes,and its research problems include analyzing the association between metabolites and sensorineural hearing loss,discovering new metabolic markers,and finding new strategies for preventing and treating sensorineural hearing loss.The application of metabolo-mics in sensorineural hearing loss contributes to the early diagnosis,individualized treatment and prediction of sensorineural hearing loss.In this paper,the research progress of metabolomics of sensorineural hearing loss is reviewed at home and abroad,and the experi-mental methods and results of clinical trials and animal experiments are integrated and analyzed,in order to provide a basis for the re-search and clinical application of metabolomics of sensorineural hearing loss,and put forward a prospect.