Types & styles
EAR AND HEARING AUSTRALIA

Most hearing impaired people can benefit from hearing aids. Just as there are different types and degrees of hearing loss, there are different hearing instruments with a wide range of functions and features to address a variety of individual needs. The degree and type of the hearing loss, manual dexterity abilities, cost factors, and cosmetic concerns are some of the factors that will determine the style of the hearing aid the individual will use.


The most popular types and styles of hearing aids available today are listed below:

  • Completely-In-the-Canal (CIC)
  • In-The-Canal (ITC)
  • In-The-Ear (ITE)
  • Behind-The-Ear (BTE)
 
Completely-In-the-Canal hearing aids (CIC)

These are the smallest hearing aids available today and are designed to fit entirely in the ear making them virtually invisible. They are the most cosmetically appealing instruments.


The small size offers superior directionality and sound quality as they take advantage of the ear's own anatomical design and natural ability to collect sound. These hearing aids are well-suited for most hearing losses from mild to moderate and offer the best solutions for the active people; however, they are restricted to people with ear canals large enough to accommodate the insertion depth of the instrument into the ear. They also require good manual dexterity, as they use very small batteries.

 
 

In-the-Canal hearing aids (ITCs)

These hearing aids fit in the canal but they are slightly bigger than the CICs and they are slightly visible in the ear. These hearing instrument are well suited for most hearing losses up to moderate.


ITC hearing aids are easier to use than the CIC aids and use a slightly larger battery.

 
 
In-the-Ear hearing aids (ITEs)

These are the largest custom-made hearing aids and visible in the ear as they fit within the concha bowl of the ear. But, they are also easier to manage for people with dexterity problems.


Due to their larger size, ITEs can accommodate larger sound amplifiers they can therefore be fitted to a wider range of hearing losses, up to severe.


ITE hearing aids offer the right combination of appearance, ease-of-use and affordability to meet the different types of hearing losses.

 

Behind-the-Ear hearing aids (BTEs)

These hearing aids sit behind the ear lobe and are connected to the ear by tubing and a custom-made earmould. They have a robust design and are the most reliable type.

BTEs can provide more amplification than smaller instruments and are designed to fit a full range of hearing impairments from mild to profound. They are available in several colours to match people's hair and skin tone.

 
 
Different Technologies
 
Analog Technology
Analog technology is basic technology and offers limited adjustment capability. In this type of sound processing the acoustic signals are first translated into complex electrical current by a microphone. Then, the electrical current is converted to acoustic signals by a receiver. Analog sound processing is like recopying a photocopy - it can only be done to a certain extent because it causes a deterioration of the original imprint.
 
 
Digitally programmable technology
Digitally programmable instruments are analog aids, which can be programmed digitally by the computers in our clinics. These instruments offer more flexibility in terms of adjustments, and can be reprogrammed if there are changes in hearing loss.
 
Digital Technology

Digital technology is the most sophisticated hearing aid technology. Digital technology gives the Audiologist maximum control over sound quality and sound processing characteristics.


It is shown that digital hearing aids do out-perform digitally programmable and analog hearing aids. With digital sound processing, the sound is registered mathematically, It is encoded as a series of numbers, and processed bit by bit. Being more robust than an analogue signal, a digital signal can be repeated accurately and endlessly without affecting the overall quality. It's like making digital copies of a scanned image: each copy is a perfect duplicate of the original. Digital instruments are highly flexible and much more precise than analog instruments. This results in giving patients the clearest speech signal possible.


Most digital hearing aids have at least two channels. Each channel controls a certain range of frequencies (low & high pitch) coming into the hearing instrument. Not only the gain (volume) but also the compression of the loud sounds can be adjusted in each channel independently of the others. This makes it possible to compress the unwanted loud sounds in one frequency band without unfairly penalising the sounds (speech) in the other frequency band. This allows the Audiologist very fine tuning ability to match the patient's hearing loss and to better filter out sounds such as background noise to give the patient a clearer speech signal.


Another advantage of these hearing aids is that they analyse the loudness of the incoming sounds and adjust the overall volume accordingly. In other words, a digital aid can raise the loudness for the softer sounds such as speech and decreases the Loud sounds such as traffic or unwanted noise automatically.


Digital and digitally programmable aids can be fitted with two or more programs , enabling the user to have different volumes and types of amplification for different listening situations.

 

 

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