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 called it masking), an integral part of TRT, found no convincing evidence of the efficacy of sound therapy in the treatment of tinnitus. A summary in The Lancet concluded that in the only decent study, TRT was more effective than masking; in another study in which TRT was used as a control methodology, TRT showed a small benefit. A study which compared cognitive behavior therapy (CBT) in combination with the counselling part of TRT versus standard care (ENT, audiologist, maskers, hearing aid) found that the specialized care had a positive effect on quality of life as well as specific tinnitus