A wide range of technology and a host of features are available in each hearing aid style. The cost of hearing aids generally depends on the technology and the number of features the instrument has and not necessarily on the style selected. Today's digital hearing aids are typically offered in various levels, such as basic, entry, advanced or premium level. Within each level, different technology and features are available.
Basic digital hearing aids generally require the wearer to make some manual adjustments in certain listening environments such as turning a volume control up or down, or pushing a button to change listening programs. In contrast, a premium or more advanced hearing aid responds automatically to changes in the listener's environment, making changes based on the signals being detected by the hearing aid. The hearing aid wearer is not required to make any manual changes. As the level of the technology increases in hearing aids, so does the availability of advanced features. Examples of some of the advanced features found in today's digital hearing aids are shown below.
When selecting a style the following is considered:
- The degree of the hearing loss (power requirements)
- Manual dexterity and visual abilities
- Patient budget
- Skin sensitivities
- Anatomical/medical considerations
Styles of Hearing Aids
Hearing aids are available in many different sizes and styles thanks to advancements in digital technology and miniaturization of the internal components. Many of today's hearing aids are considered sleek, compact and innovative – offering solutions to a wide range of hearing aid wearers.
Hearing aids worn in the ear are usually custom-fit, based on a cast or impression of the ear. They’re available in different skin tones to camouflage with the outer ear. There are several styles – each is listed below, ranging from smallest to largest.
ITC instruments sit in the lower portion of the outer ear bowl, making them comfortable and easy to use. Because they’re slightly larger than CIC models, they have a longer battery life, and can host additional features such as directional microphones for better understanding in noisy environments, and controls such as volume controls. They fit mild and moderate hearing losses.
Half Shell (HS)
Half shell models fill half the bowl of the outer ear. Like ITC models, their size enables the addition of features such as directional microphones, volume controls and push buttons to activate special settings for different listening environments. Because of their size, they may be easier than smaller models to handle for some people and yet are still often disguised by hairstyles or sideburns. This hearing aid style looks similar to the ITC hearing aid when worn on the ear, but is slightly larger.
Full Shell or In-the-Ear (ITE)
Full shell models sit flush within the outer ear bowl. Their size allows the maximum number of additional controls and features such as directional microphones, which require space on the outer portion of the instrument. They use a larger battery size than the smaller styles, and can fit a larger receiver with enough power for even some severe hearing losses. Because of their flexibility, they’re widely recommended for mild to severe hearing loss.
Behind-the-Ear (BTE) models sit behind or on top of the outer ear, with tubing that routes sounds down into the ear that connects to an ear tip or earmold to secure them in the ear canal. BTEs come in colors to blend with hair or skin tones, and even chrome colors, leopard print and other funky designs to suit personal styles. Different BTE sizes accommodate different features, controls, battery types and degrees of power (larger instruments generally have more power than smaller ones). While many people choose discreet BTEs that are unnoticeable when worn, others are tempted to show off the cool designs.
Mini BTE with slim tube and tip
Mini BTEs are designed to hide behind the outer ear, and have ultra-thin tubing to discreetly route sound into the ear. The tubing connects to a soft tip that sits in the ear canal but doesn’t occlude it. The result is a natural, open feeling as airflow and sound enter the ear naturally around the tip, while amplified sound enters through the tip. This is known as “open fitting” and is recommended for mild to moderate high frequency losses.
Receiver in the ear (RITE)
RITE models, also known as RIC (receiver-in-canal) models, are mini BTEs that have the speaker of the instrument incorporated in the ear tip, instead of in the main body of the instrument. RITE instruments fit mild to severe hearing losses. This hearing aid style looks similar to the Mini BTE when worn on the ear.
BTE with earmold
BTEs with earmolds fit mild through profound hearing losses. Their longer shape, following the contour behind the outer ear, generally can house more features, controls, and power than custom models. The earmold color and style, as well as the wearer’s hairstyle, determine exactly how they’ll look on each person.