Tinnitus tests are suitable when tinnitus occurs with the same rhythm as the heartbeat. Rarely, the sound may be heard by someone else using a stethoscope, in which case it is known as objective tinnitus. Spontaneous otoacoustic emissions, which are sounds produced normally by the inner ear, may also occasionally result in tinnitus. Prevention involves avoiding loud noise. If there is an underlying cause, treating it may lead to improvements. Otherwise, typically, management involves talk therapy. Sound generators or hearing aids may help some. As of 2013, there were no effective medications. It is common, affecting about 10–15% of people. Most,
Tinnitus masker in 90% of persons but in rare cases, an hour or more. The period of complete silence is usually seconds to about a minute. If the trigger sound is repeated at intervals, tinnitus can be suppressed as long as the repetition lasts. The residual inhibition (RI) effect first noted in 1903: the capacity of a sound of the right frequency and intensity to briefly attenuate or suppress tinnitus. To distinguish the tailored sound used for inhibition from the broadband undifferentiated sound employed in tinnitus maskers, it is usually referred to as the 'trigger' or 'quieting' sound. The trigger sound is