Falls & Accidents Are More Likely with Hearing Loss

Hearing Aid Styles

In Assistive listening devices, Hearing Aids, Hearing Technology by Dr. Robert Hooper Au.D.

If you have just had a consultation with your audiologist and were prescribed hearing aids to treat your hearing loss, it is important to explore your options. During your hearing test, your audiologist determined your abilities to hear in particular ranges of sound. While the level of amplification you require will have some importance in terms of the options available to you, the range of possibilities can still be overwhelming.

If you were to look for hearing aids on your own, the types and names might appear like a jumble of letters and acronyms. Here, we provide a simple explanation of the main types of hearing aids. Within each type, there is great variety, so it is important to work side-by-side with your audiologist to determine which type is right for your needs and to suit your lifestyle.

The two basic kinds of hearing aids are In The Ear (ITE) or Behind The Ear (BTE). Within these general types, there are many variants, with different pros and cons depending on your needs. If you’re interested in rechargeable hearing aids, most of these options exist in the BTE style. If you want a hearing aid that disappears inside your ear canal, keep in mind that these may only be appropriate for those with mild hearing loss, and will not have Bluetooth functionality or other amenities.

Choosing Hearing Aids

With all these different styles and features of hearing aids, it’s no wonder that choosing a hearing aid is a very personal process. Not only is your hearing ability part of the decision, but you also will want to consider your lifestyle and the environments or activities that will require hearing assistance. Some hearing aids will work better for those who spend more time at home, while others will be more suited to social outings or spending more time in crowded, noisy places.

If you want to hear better in social settings but feel uncomfortable using a visible hearing aid, then an ITE might be the right choice. However, if you struggle with dexterity or want a fully-loaded, rechargeable option, then a larger BTE might be helpful. Furthermore if you engage in activities that might subject the hearing aids to moisture, then you will need to use that preference in your hearing aid decision.

Beyond the physical style of the hearing aid, manufacturers usually offer three or more software functionality levels, from basic to premier. With basic functionality, you can expect the minimum of what the current state of the art has to offer. This will often include basic noise reduction, but perhaps nothing else. While these hearing aids will certainly work in terms of amplifying the sound around you, some people may benefit from more features.

As you move up the levels, you can find hearing aids that will automatically switch their program as you move through environments; hearing aids that use multiple microphones and speakers, and special software to communicate with each other, to drastically improve your sense of spatial awareness from sound; hearing aids that utilize separate processors for speech and background sound, improving your experience of both; and the list goes on. As a general rule, those with a more active lifestyle will benefit more from premier feature sets than those who tend to spend more time at home.

Because the hearing aid market contains such broad offerings, it’s important to come to your hearing test with a sense of what you want to get out of your hearing aids. Are you more of a homebody? Do you regularly have multiple visitors at once? Do you attend worship services or lectures? Do you work or are you retired? Do you visit museums or enjoy the movies? Do you watch a lot of television? It’s important to work with your audiologist and give them as much information as possible about what’s important to you so they can help you find your way to the right set of hearing aids.

Sometimes people get new hearing aids, try them out, and have such a hard time using them that they don’t wear them regularly. While you should expect to have an adjustment period with a new set of hearing aids, sometimes the problem is that the aid is mismatched to the individual. Let us help you avoid this problem by giving us as much information as you can about your lifestyle and the activities that are important to you.

To learn more about the hearing aids we manufacture in-house, or the major hearing aid brands that we carry, contact us at Eartronics today. We’re here to help you navigate the world of hearing aid options available today and find your way clear to the best choice for you.

ITE Hearing Aids

ITE hearing aids are placed directly into your ear canal, and they tend to come as a single unit with all the components in the same housing. Regular ITE hearing aids come in two forms: half-shell and full-shell, which describes the amount of space they take up on your ears. Some models require custom earmolds while others use a standardized silicone piece to fit into your ear canal. Most ITE hearing aids will require disposable batteries, though a few models have been made that are rechargeable. In general, the smaller the hearing aid becomes, the less functional it will be. This may be fine for you, unless your hearing loss is quite severe. As always, talk to your audiologist about what’s important to you so they can help you find your way to the hearing aids that will give you the greatest experience.

in-the-ear hearing aids

Invisible In the Canal (IIC)

These are the very smallest ITE hearing aids. They are so tiny that they fit into your ear canal beyond the point where an eye can see them. Generally speaking, your audiologist will insert and place IIC aids into your ear canals, where they may stay for months at a time. IIC’s are appropriate for those with mild hearing loss, and will generally not offer Bluetooth connectivity. However, they sit so deep in the ear canal that you can actually wear a set of hearables in your ears behind them, if you wish.

Invisible-in-canal hearing aids

Completely In the Canal (CIC)

Another form of ITE hearing aids, CIC aids may not be completely invisible, but they do fit all the way into the ear canal. Some like these hearing aids because they remain out of sight, but they can be difficult to take in and out, particularly for those with dexterity issues or arthritis. These units also may be more sensitive to moisture or water damage because they sit deeper in the ear canal, while also requiring the use of disposable batteries. Disposable batteries require the hearing aids to have a battery door, where moisture and dirt can more easily get inside.

Ear canal hearing aids

In The Canal (ITC)

ITC devices do fit in the ear as a single unit, but they can be easier to manipulate with the fingers. Some wearers of ITC hearing aids complain of occlusion, or the feeling that their ears are plugged up. If this is the case, some wearers of ITC hearing aids will simply get used to the feeling, while others may prefer a BTE device.

BTE Hearing Aids

BTE hearing aids are different from ITE, because they have two components connected by a small cord. The speaker sits in the ear canal, just like an ITE, but this piece is connected to a cartridge that sits behind the ear containing the battery, computer, amplifier and microphone. Although these units are visible and a bit bigger, they come with the benefit of being easier to take in and out. They also typically offer greater functionality, as they allow more space for greater computational power and rechargeable batteries. We should also note that there are many BTE models of hearing aid available today that are significantly smaller than models from even a generation ago.

Those who have trouble manipulating tiny objects may prefer a BTE hearing aid, because part of the unit sits behind the ear. For people who experience dexterity issues, BTE hearing aids are the easiest type to maneuver. An earpiece or earmold fits into the outer part of your ear canal. Some people experience occlusion with these models, but responses are mixed. People who wear eyeglasses may have some difficulty with the plastic component that rests on the back of the ear.

behind-the-ear hearing aids

Receiver In The Ear (RITE)/Receiver In the Canal (RIC)

This style of hearing aid looks nearly identical to a traditional BTE, but the microphone sits inside the earpiece, on the opposite side from the speaker. This can be helpful with spatial location as the sound enters the hearing aid in the same place as it also enters your ear. It can also be helpful for those with long hair, who may have issues with their hair making sound against the hearing aids’ microphones on a traditional BTE design.