Add-ons using the techniques described in this document are considered a legacy technology in Firefox. Don't use these techniques to develop new add-ons. Use WebExtensions instead. If you maintain an add-on which uses the techniques described here, consider migrating it to use WebExtensions.
Starting from Firefox 53, no new legacy add-ons will be accepted on addons.mozilla.org (AMO) for desktop Firefox and Firefox for Android.
Starting from Firefox 57, WebExtensions will be the only supported extension type. Desktop Firefox and Firefox for Android will not load other extension types.
Even before Firefox 57, changes coming up in the Firefox platform will break many legacy extensions. These changes include multiprocess Firefox (e10s), sandboxing, and multiple content processes. Legacy extensions that are affected by these changes should migrate to WebExtensions if they can. See the "Compatibility Milestones" document for more information.
A wiki page containing resources, migration paths, office hours, and more, is available to help developers transition to the new technologies.
The Sound.jsm
JavaScript code module offers the ability to play sounds simply using the HTML 5 audio APIs under the hood. For basic usage, see the Github readme.
For a rough example on its use (note: the Sound.jsm file must be added to the project), see here.