A recent review in JAMA Otolaryngology-Head & Neck Surgery discusses potential negative unintended consequences of broadband noise (BBN) for tinnitus therapy. Attarha et al (2018) present an argument suggesting that data demonstrating influence of BBN on maladaptive plasticity in the auditory pathway may further impair central function and result in a net increase in neural activity (or loss of inhibition) related to tinnitus perception.