Oto Tinnitus Sound Therapy Program

Audiology and Speech Solutions offers the Oto tinnitus program to patients in Rye, NY, Harrison, NY, Mamaroneck, NY, and nearby communities.

Oto is a therapeutic sound program for adults with bothersome tinnitus. It is set up with your audiologist and used at home on your phone, in short daily sessions.

The program is built around:

• Therapeutic sound you can use through the day and at night
• Daily sessions of around ten minutes
• An eight-week course you work through at your own pace
• Tinnitus Functional Index scores your audiologist reviews with you
• Practical techniques for sleep, relaxation and attention

What is Oto?

Oto is a smartphone app that delivers a structured tinnitus program using therapeutic sound. It is used alongside care from your own audiologist rather than on its own.

Sound is the core of it. You choose sounds that sit comfortably with your tinnitus and use them when you need them, including at night. Around that, the app gives you short daily sessions that build practical skills for living with tinnitus: attention, relaxation, sleep and stress.

How is the program implemented?

We recommend Oto after a tinnitus evaluation, once we understand your hearing, your tinnitus, and what is making it difficult for you.

If Oto is right for you, we set it up in the clinic. You download the app, we get you started on your first session, and we agree how often we will review your progress together. The program runs over eight weeks, with daily sessions of around ten minutes.

We look at your Tinnitus Functional Index scores at your follow-up appointments, so we can both see what is changing and adjust the plan.

What happens in a daily Oto session?

A session takes around ten minutes. You listen to therapeutic sound and work through one short part of the course, which might be a breathing exercise, a sleep technique, or a way of handling the attention you are giving the sound. You can use the sound library on its own at any point, for as long as you like.

Who can benefit from Oto?

Oto is for adults aged 18 and over with bothersome tinnitus. It tends to suit patients who:

• Find tinnitus is affecting their sleep, concentration or mood
• Have had a tinnitus evaluation and no medical cause that needs treating first
• Want something structured to follow between appointments
• Are using hearing aids with a masking program and want more support day to day

We always start with an evaluation. Tinnitus that comes on suddenly, is in one ear only, pulses in time with your heartbeat, or comes with dizziness or a change in hearing needs to be looked at before any program begins.

What does the research show?

Oto’s daily sessions use therapeutic sound, with CBT-based techniques alongside. That approach is recommended for tinnitus management by NICE, by the American Academy of Otolaryngology-Head and Neck Surgery, and by Cochrane.

Oto has been studied in a randomized controlled trial at Flinders University, published in 2025. Ninety-six adults were randomized either to use Oto or to a wait-list control group. At six months, the group using Oto showed a statistically significant improvement on the Tinnitus Functional Index, a validated measure of how much tinnitus is affecting daily life, with a 9-point reduction and an effect size of 0.62.

How does Oto fit with hearing aids and the rest of your care?

Oto is part of your tinnitus care plan, not an alternative to the rest of it.

If you wear hearing aids, they do the work of restoring the sound you have been missing, and a masking program in the aids can make tinnitus less noticeable during the day. Oto runs alongside that. It gives you sound you control from your phone, including at night when your aids are out, and a routine to follow between appointments.

For patients who do not need hearing aids, Oto is used on its own.

You will not be asked to choose between them.

How do I get started?

Audiology and Speech Solutions has audiologists providing tinnitus evaluations and the Oto program in Rye, NY, Harrison, NY, Mamaroneck, NY, and nearby communities.

We will schedule a tinnitus evaluation to understand your tinnitus and see whether Oto is right for you. If it is, we will set it up with you in the clinic.

Audiologists in Rye, NY

Your hearing matters to us. Whether you need hearing aids, hearing tests, a tinnitus evaluation or the Oto program, our Rye, NY, audiologists can help.

We look forward to seeing you in our clinic.