Tinnitus masker The ear has a resonance frequency (highest frequency response) at 3,000hz and rolls off at a very steep 26db/octave on the high frequency side. Unfortunately, most tinnitus is associated with hearing loss, and most hearing loss and tinnitus is high frequency. Most maskers are limited to about 6khz of effective output. Higher frequency output results in increasing distortion, and may cause rejection of the device. The minimum masking level (MML) is the minimum amplitude of narrowband noise centered on the tinnitus pitch (or frequency range) necessary to completely mask the tinnitus. Tinnitus maskers are commonly used by tinnitus sufferers when
Tinnitus retraining therapy with tinnitus have a comorbid psychological injury or illness (e.g., post-traumatic stress disorder, depression, anxiety, obsessive compulsive disorder, stress, dysfunction of the temporomandibular joint, etc.) that can exacerbate the tinnitus. It has been proposed that tinnitus is caused by mechanisms that generate abnormal neural activity, specifically one mechanism called discordant damage (dysfunction) of outer and inner hair cells of the cochlea. The psychological basis for TRT stems from the fact that the brain exhibits a high level of plasticity. In turn, this allows it to adjust to any sensory signals as long as they do not lead to negative effects.