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Understanding Different Hearing Aid Styles: Which One Suits You Best?
Hearing aids come in several styles, each designed to meet different hearing needs, lifestyles, and preferences. From nearly invisible options to powerful behind-the-ear devices, we'll explain the main hearing aid styles and help you understand which might work best for you.
Behind-the-Ear (BTE) Hearing Aids
BTE hearing aids sit comfortably behind your ear and connect to an earmold or dome in your ear canal via a thin tube. These devices offer several advantages:
- Powerful amplification for all degrees of hearing loss
- Larger batteries for longer life
- Easy handling for those with dexterity challenges
- More space for advanced features and controls
- Good durability due to placement outside the ear canal
BTE hearing aids work well for people of all ages and can address mild to profound hearing loss. Their placement makes them easier to clean and maintain compared to in-the-ear styles. Modern BTE devices are much smaller and more discreet than older models, with many color options to match hair or skin tone.
Receiver-in-Canal (RIC) Hearing Aids
RIC devices represent the most popular hearing aid style today. Like BTE aids, they sit behind the ear, but instead of a sound tube, they use a thin wire to connect to a tiny speaker (receiver) placed in the ear canal. RIC hearing aids offer:
- A comfortable, natural fit
- Reduced occlusion (plugged-up feeling)
- Nearly invisible wire connecting the device to the receiver
- Multiple receiver power levels for different hearing losses
- Excellent sound quality
The Widex MOMENT SHEER, Phonak Infinio, ReSound Nexia, Oticon Intent, and Starkey Genesis AI all offer RIC options with advanced features like artificial intelligence, rechargeable batteries, and smartphone connectivity. These modern RIC devices provide exceptional performance while maintaining a discreet appearance.
In-the-Ear (ITE) Hearing Aids
ITE hearing aids fit completely within the outer portion of your ear. Custom-made based on an impression of your ear, these devices offer:
- Easy insertion and removal
- Good battery life
- Manual controls accessible on the device
- Telecoil options for public spaces
- Protection from wind noise
ITE devices work well for mild to severe hearing loss and can accommodate various features despite their smaller size. They're particularly suitable for people who wear glasses or use oxygen tubes, as there's no competition for space behind the ear.
In-the-Canal (ITC) Hearing Aids
ITC devices fit partly in the ear canal, making them less visible than ITE aids while providing similar benefits:
- More discreet than full-shell ITE devices
- Room for manual controls
- Good battery accessibility
- Natural sound quality
- Telecoil options available
These hearing aids work well for mild to moderately-severe hearing loss. Their slightly smaller size means they might not fit as many features as ITE devices, but they still offer excellent performance for many users.
Completely-in-Canal (CIC) Hearing Aids
CIC hearing aids sit deeply in the ear canal, making them nearly invisible. These devices offer:
- Maximum discretion
- Natural sound pickup due to deep placement
- Good protection from wind noise
- Easy phone use
- Reduced feedback in many cases
CIC devices work best for mild to moderate hearing loss. Their small size means shorter battery life and fewer features compared to larger styles. They might not be suitable for people with dexterity issues or very small ear canals.
Invisible-in-Canal (IIC) Hearing Aids
IIC devices represent the smallest hearing aid style, sitting completely invisible in the ear canal. They provide:
- Complete invisibility when properly inserted
- Natural sound quality
- Protection from wind noise
- Easy phone use
- Reduced occlusion effect
These devices work for mild to moderate hearing loss but have similar limitations to CIC aids regarding battery life and features. They require good manual dexterity for insertion and removal.
Factors to Consider When Choosing a Style
Several factors influence which hearing aid style might work best for you:
Degree of Hearing Loss
- Mild to moderate loss: All styles are typically available
- Severe to profound loss: BTE or RIC styles usually work best
- High-frequency loss: RIC devices often provide excellent results
Lifestyle Needs
- Active lifestyle: BTE or RIC with moisture resistance
- Frequent phone use: RIC or ITE with Bluetooth
- Public spaces: Devices with telecoil for loop systems
- Swimming/water exposure: BTE with appropriate protection
Dexterity and Vision
- Limited dexterity: Larger styles like BTE or RIC
- Vision challenges: Styles with easier battery changes
- Manual controls: ITE or BTE for easier adjustments
Cosmetic Preferences
- Maximum invisibility: IIC or CIC
- Hair and skin tone matching: BTE or RIC
- Professional appearance: RIC or ITC
Technology Needs
- Smartphone streaming: RIC or BTE with Bluetooth
- Rechargeable options: Most commonly in RIC and BTE
- Advanced features: Usually more available in larger styles
The Role of Professional Fitting
Regardless of style, proper fitting and programming make the biggest difference in hearing aid performance. At Hearing & Balance Solutions, we use Real Ear Measurements with every fitting to verify that your hearing aids provide the right amount of amplification across all frequencies.
This verification process involves placing a tiny microphone in your ear canal to measure the actual sound output of your hearing aids. This step ensures you receive the full benefit of your devices and helps us make precise adjustments for your specific hearing needs.
Modern Features Across Styles
Today's hearing aids offer impressive features regardless of style:
Bluetooth Connectivity
Many styles now offer direct streaming from smartphones, allowing you to:
- Take phone calls directly through your hearing aids
- Stream music and audio
- Make adjustments via smartphone apps
- Connect to various wireless accessories
Rechargeable Options
Rechargeable hearing aids are available in many styles, offering:
- All-day battery life
- No tiny batteries to replace
- Convenient charging cases
- Cost savings over time
Artificial Intelligence
Advanced processing in many modern devices provides:
- Automatic environmental adjustments
- Learning from your preferences
- Health tracking capabilities
- Enhanced speech understanding
Leading Manufacturer Styles
At Hearing & Balance Solutions, we offer hearing aids from the industry's top manufacturers, each with their own innovative approaches to hearing aid design:
Widex MOMENT SHEER and SmartRIC
Widex has revolutionized RIC design with their new SmartRIC, featuring an innovative L-shaped design with a 20-degree curvature at the top. This unique shape elevates the dual microphones for better sound capture and improved directionality. The SmartRIC offers:
- Reduced wind and touch noise through redesigned microphone ports
- Up to 37 hours of battery life on a single charge
- A sleek charging case with 5 extra charges
- Available in 8 modern colors to match hair and skin tones
- Enhanced sound quality through optimal microphone placement
The MOMENT SHEER continues to offer traditional RIC styling with:
- Multiple receiver power options
- Custom and standard ear tip choices
- Sophisticated rechargeability
- Full wireless connectivity
Oticon Intent
The Intent family provides multiple wearing options to suit different needs:
- miniBTE: A small, powerful behind-the-ear option
- miniRITE: A discreet receiver-in-canal style
- Custom styles: Including ITE, ITC, and CIC options
All Intent styles feature advanced sound processing and connectivity options, with rechargeable batteries available in the BTE and RIC models.
Phonak Infinio
The Infinio platform offers versatile wearing styles:
- Audéo Infinio R: A sleek rechargeable RIC design
- Audéo Infinio Sphere: Premium dual-chip RIC model
- CROS Infinio: Specialized solution for single-sided deafness
These models provide different performance levels to match varying hearing needs and budgets, with features like:
- Water-resistant coating
- Direct connectivity options
- Multiple receiver power levels
- Various ear tip solutions
ReSound Nexia
ReSound's Nexia line includes:
- Rechargeable microRIE: Their most popular style
- Classic RIE 61: Traditional battery option
- Classic RIE 62: Includes telecoil
- CROS option for single-sided deafness
All styles come in 8 modern colors and offer features like:
- Easy call pick-up with TapControl
- Wireless accessory compatibility
- Multiple charging options
- Auracast broadcast audio capability
Starkey Genesis AI
The Genesis AI platform provides various wearing options:
- Standard RIC designs
- BTE models
- Custom ITE options
- Nearly invisible IIC styles
Each style incorporates Starkey's advanced AI features and health tracking capabilities, with options for:
- Rechargeable or traditional batteries
- Different power levels
- Custom ear molds or standard tips
- Fall detection in select models
Customization Options
Each manufacturer offers unique customization options for their devices:
Ear Tips and Molds
- Open domes for mild hearing loss
- Closed domes for more amplification
- Power domes for severe losses
- Custom molds for maximum benefit
- Specialized vented options
Colors
Most manufacturers offer similar color palettes:
- Hair tones from blonde to dark brown
- Skin tones from light to dark
- Metallic options like silver and bronze
- Modern fashion colors
Power Levels
Receiver and speaker options typically include:
- Standard output for mild to moderate loss
- Power for moderate to severe loss
- Ultra Power for severe to profound loss
Schedule Your Hearing Aid Consultation
Choosing the right hearing aid style involves careful consideration of your hearing needs, lifestyle, and preferences. At Hearing & Balance Solutions in Charlotte, we guide you through this decision by:
- Conducting a comprehensive hearing evaluation
- Understanding your daily listening needs
- Discussing your preferences and concerns
- Demonstrating different hearing aid styles
- Using Real Ear Measurements to verify performance
Contact us to schedule a consultation with Dr. Gosu. We'll help you find the perfect hearing aid style and ensure it's programmed precisely for your unique hearing profile. With the right hearing aids, properly fitted and verified, you can experience the confidence that comes with better hearing in all your daily activities.
Dr. Goutham Gosu has been practicing Audiology for the past 18 years and specializes in pediatric and adult hearing healthcare. He completed his graduate degree at Ohio University and received his doctorate in Audiology from AT Still University.