Objective tinnitus is a clinical reality and still very much in use. It
can, and is, heard by others even at a distance. One of the most
fascinating cases was presented around 1980-82 at the annual
otolaryngology meeting. A young female (as I recall about 10 or 11) had a
pronounced clicking sound clearly audible to herself and others within a 3
foot area. The cause was believed to be contractions of a muscle in or
near the opening of eustachian tube.
Pulsitile tinnitus arising from vascular problems is common and could
indicate glomous jugularis tumor.
Anyway, objective tinnitus is a real clinical entity and one which every
audiologist must keep in mind.