Masking of Tinnitus Compared to Masking of Pure Tones

Abstract

In 10 subjects with sensorineural tinnitus (associated with a sensorineural hearing loss and no apparent source for a tinnitus originating elsewhere), the minimum level required to mask the tinnitus was determined for tonal maskers at several masker frequencies. This tinnitus masking pattern was compared to a psychoacoustical tuning curve (PTC) in which the signal frequency and level were determined from tinnitus pitch and loudness matching. Different patterns emerged. One subject showed a near-normal PTC but required high-level maskers across the frequency range to mask the tinnitus. Another subject showed some frequency resolution in the PTC but required low-level maskers across the frequency range to mask the tinnitus. For the remaining eight subjects, the masker levels required to mask the tone were generally higher than those levels required to mask the tinnitus. In addition, it was noted that the tinnitus pitch-match frequency was sometimes associated with an increase or a decrease in threshold sensitivity, or it was found at the low-frequency edge of a steep high-frequency threshold loss. In other subjects there was no apparent relationship between the tinnitus pitch and the audiogram shape.