Oto Tinnitus Program
Oto Tinnitus Program at Cayman Hearing Center
Tinnitus does not wait for your next appointment. It can be louder in a quiet room, harder to ignore when you are tired or stressed, and worst at night. Oto gives you something structured to work on every day at home, as part of the tinnitus care you receive here.
Some Quick Facts About Oto
Fact 1
Oto is an at-home tinnitus management program that uses sound therapy, with exercises drawing on cognitive behavioral therapy (CBT) techniques alongside.
Fact 2
It runs on your phone, in short daily sessions of around ten minutes, across a structured program of around three months.
Fact 3
Oto is only available through a hearing care provider. We recommend it after your tinnitus assessment and set it up with you here in the clinic.
Fact 4
Oto is for adults aged 18 and over.
Fact 5
There is currently no cure for tinnitus. Oto is a structured way to manage it day to day, with our team alongside you.
Fact 6
Oto was founded by ex-military physicians who live with tinnitus themselves. The team behind it is physicians, ENTs and audiologists who specialize in tinnitus. You can read more about where the program came from on Oto’s website.
Sound Therapy
A sound library and guided audio sessions give you sound you control from your own phone, at home, at work or at night.
CBT Techniques and Guided Sessions
Alongside the sound, the sessions use exercises drawing on cognitive behavioral techniques to work on the attention you give your tinnitus, on sleep, and on the stress that makes it harder to live with. Sessions also cover education about tinnitus, mindfulness and relaxation.
A Structured Program
The program is 74 sessions across six stages, from Foundations to Momentum, so you always know what comes next. Beyond the program there are more than 100 further sessions to explore.
How Oto Fits Into Your Care at Cayman Hearing Center
Your Tinnitus Assessment
Everything starts with a full tinnitus assessment: a conversation about your history, an examination of your ears, a full series of hearing tests, the Tinnitus Handicap Inventory, and measures of the pitch and loudness of your tinnitus.
Set Up Before You Leave
If Oto is part of your plan, we set it up on your phone during your visit and take you through your first session, so you go home ready to start.
Your Daily Sessions
Around ten minutes a day, at a time that suits you.
Reviews at Four, Eight and Twelve Weeks
We check in with you at four, eight and twelve weeks, in the office or by video, to see how you are getting on and adjust your plan.
Oto and Hearing Aids
If you have hearing loss, hearing aids restore the sound you have been missing, and a tinnitus program in your aids can make tinnitus less noticeable during the day. Oto runs alongside them. It gives you sound you control from your phone, including at night when your aids are out, and a routine to follow between appointments. Oto can be set up on the same day as your hearing aid fitting.
For patients who do not need hearing aids, Oto is used on its own, with our team following your progress.
You will not be asked to choose between them.
Is Oto Backed by Research?
Oto’s daily sessions use therapeutic sound, with exercises drawing on cognitive behavioral 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 in Australia, 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.
You can read more about Oto’s research at joinoto.com/research.
Who Is Oto For?
Oto is for adults aged 18 and over whose tinnitus has lasted for a while and is getting in the way of sleep, concentration or everyday life. After your tinnitus assessment, we will tell you whether we think it belongs in your plan.
If your tinnitus came on suddenly, is in one ear only, or beats in time with your pulse, please tell us when you call. These need a medical check first, and we will make sure you get one.
