Tinnitus Explained
Written by an audio engineer, not a clinic

Your hearing test came back normal. The ringing did not.

I spent seventeen years mixing live sound, and I read my own audiogram the way I read a mix. It was stamped “within normal limits.” It also had a 10 dB notch at 4 kHz that nobody said out loud.

0 10 20 30 40 50 250 500 1k 2k 4k 8k dB HL Frequency (Hz) −10 dB
The author's notch at 4 kHz. In a 2020 study of eight sound engineers, every one of them tested within normal limits, and five still showed a notch of 10 dB or more in the high frequencies, at a mean age of 27.
Four questions the appointment never answers

Start with what you noticed, not with a diagnosis

It changes on its own 5 articles

Why My Tinnitus Changes

When yawning, clenching, or turning your head changes the sound, there is a name for it - and it is not your hearing getting worse.

Naming the sound 1 article

What Does Tinnitus Sound Like?

Crickets, cicadas, hissing, static. Describing the sound precisely is the first useful step.

Louder and quieter 7 articles

When Tinnitus Gets Louder

Naps, silence, 3 a.m. Why the volume seems to change from one day to the next.

What helps 9 articles

What Actually Helps

What the 2024 clinical guidelines recommend, what they recommend against, and the large middle where the evidence simply is not there yet.

Clogged Ears and Pressure 8 articles

Clogged Ears and Pressure

Ears that will not pop, fullness that outlasts the cold that caused it, and the point where days stop being normal.

Every claim is sourced

NIDCD, VA/DoD, peer-reviewed research. Where the evidence is thin or contradictory, the article says so instead of rounding it off.

No invented clinical credentials

Dean Voss is an audio engineer. He does not diagnose, prescribe, or promise an outcome. What he has is the technical vocabulary of frequency and a decade of reading the research.

What you will not find here

Cures, relief timelines, before-and-afters. Current clinical guidelines recommend against supplements for tinnitus, and this site says so even when that is inconvenient.