During his 18 years with Oingo Boingo, Elfman developed significant hearing damage as a result of the continuous exposure to the high noise levels involved in performing in a rock band. Afraid of worsening his condition, he decided to leave the band, saying that he would never return to that kind of performance. His impairment was so bad that he could not "even sit in a loud restaurant or bar anymore." However, he found performing in front of orchestras more tolerable, and returned several times to reprise his live performance of Jack Skellington.