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Hearing Aid Technologies

Types of Hearing Aids

There are many styles of hearing aids. The degree of the hearing loss, power and options requirements, manual dexterity abilities, cost factors, and cosmetic concerns are some of the factors that will determine the style the patient will use.

Digital Hearing Aid Technology

The term DIGITAL is used so often today, it can be confusing. When the term “digital” is used while referring to hearing aids, it generally means the hearing aid is 100% digital. In other words, the hearing aid is indeed a “complete computer”.

Type and Degree of Hearing Loss

Results of the audiometric evaluation are plotted on a chart called an audiogram. Loudness is plotted from top to bottom. Frequency, from low to high, is plotted from left to right.

Three Levels of Hearing Aid Technology

There are essentially three levels of hearing aid technology. We refer to these as analog, digitally programmable, and digital.

How do I know if I have Hearing Loss?

Hearing loss occurs to most people as they age. Hearing loss can be due to the aging process, exposure to loud noise, certain medications, infections, head or ear trauma, congenital (birth or prenatal) or hereditary factors, diseases, as well as a number of other causes.

Hearing Aid Battery Information

All batteries are toxic and dangerous if swallowed. Keep all batteries (and hearing aids) away from children and pets. If anyone swallows a battery it is a medical emergency and the individual needs to see a physician immediately.

Assistive Listening Devices (ALDs)

You may have certain communication needs that cannot be solved by the use of hearing aids alone. These situations may involve the use of the telephone, radio, television, and the inability to hear the door chime, telephone bell, and alarm clock.

Types of ALDs

There are many assistive listening devices available today, from sophisticated systems used in theaters and auditoriums to small personal systems.

Candidates for ALDs

No. People with all degrees and types of hearing loss — even people with normal hearing can benefit from assistive listening devices.

What is Tinnitus?

Tinnitus is an abnormal perception of a sound which is reported by patients that is unrelated to an external source of stimulation. Tinnitus is a very common disorder.

What Causes Tinnitus?

Tinnitus may originate from various lesions and from different sites. The auditory system involves highly complicated inner ear structures, many afferent and efferent nerve pathways and a great amount of nuclei that form a complex meshwork.

A Discussion of Tinnitus

Tinnitus is an abnormal perception of a sound which is reported by patients that is unrelated to an external source of stimulation. Tinnitus is a very common disorder.

What is an Auditory Processing Disorder (APD)?

Auditory Processing (also called Central Auditory Processing) refers to the means by which we make sense of what we hear. “Auditory Processing Disorders” refers to the abnormal interaction of hearing, neural transmission and the brain’s ability to make sense of sound.

What is a 'Hearing Instrument Specialist'?

The hearing aid specialist has training in the assessment of patients who specifically seek rehabilitation for hearing loss.

Realistic Expectations for the Hearing Aid User

Hearing aids work very well when fit and adjusted appropriately. They amplify sound! You might find that you like one hearing aid better than the other. The left and right hearing aids will probably not fit exactly the same and they probably won’t sound exactly the same.

Hearing Aids in the Presence of Background Noise

Virtually all patients wearing hearing aids complain about background noise at one time or another. There is no way to completely eliminate background noise.


HEARING AID TECHNOLOGIES

$ Conventional Hearing Aid. These most "basic" hearing aids use analog circuitry to amplify soft, average and loud sounds equally. They are typically the least expensive choice and have manual volume controls. These instruments have been available to consumers since the 1960's and are rapidly being replaced with digital products.

$ Basic Digital Hearing Aid. This type uses digital signal processing to provide a clearer signal using a single program which gives priority to the amplification of soft speech.

$$ Advanced Digital Hearing Aid. These hearing aids use advanced technology and allow the user to choose more than one specific listening program for different situations e.g.: listening in quiet, noise reduction, telephone. They may include options such as directional microphones, noise reduction circuitry and automatic feedback reduction.

$$$ Premium Digital Hearing Aid. These hearing aids provide the most features with the most sophisticated technology to improve communication in different listening environments with multiple microphones, automatic volume control/feedback reduction and noise reduction circuitry. These hearing aids can adjust automatically from one program to another as the listening environment changes.

 

HOW DO I PURCHASE HEARING AIDS?

The hearing aid selection process begins with a comprehensive diagnostic hearing assessment. If you are a candidate for hearing aids, your audiologist will conduct a hearing aid evaluation. The audiologist will discuss the styles and technologies that are available and most appropriate for you. Policies and procedures for dispensing hearing aids, including costs, will be discussed and impressions of your ear canals will be taken for the customized manufacture of your hearing aids.

When your custom devices arrive you will be seen for a hearing aid fitting. In most cases the devices will be programmed/adjusted for you. The audiologist will insure that the hearing aids are comfortable and you will receive extensive counseling on the use and care of your instruments. Follow up visits will be scheduled so that adjustments can be made to the hearing aids over time to insure optimum benefit and comfort.

It is likely that your hearing will have gradually deteriorated over time, so you should not expect your hearing aids to immediately return your hearing to normal. Using hearing aids successfully takes time and patience. Remember, every hearing loss is different and your performance with hearing aids may vary depending upon the severity of the hearing loss and the listening environment.

 

WHAT'S INSIDE A HEARING AID?

A hearing aid is an electronic, battery operated device that amplifies and changes sound to allow for improved communication. Hearing aids receive sound through a microphone, which then converts the sound waves to electrical signals. The amplifier increases the loudness of the signals and then sends the sound to the ear through a speaker/receiver. Recent advances in technology have greatly improved the circuitry and signal processing in hearing aids.
At the time of your hearing aid evaluation/consultation, the audiologist will guide you through the many options and help you determine which of the four major technologies is most appropriate for you. All technologies are available in any of the above mentioned styles.

 

 

WHAT KIND OF HEARING AIDS SHOULD I CHOOSE?

Hearing aids are available in four distinct styles:


BTE, Behind-The-Ear: The components of this hearing aid fit in a small case worn behind the ear that is connected to a custom fit earmold. This style is appropriate for all degrees of hearing loss and has the most room for options. It uses a larger battery which provides for a longer battery life than the smaller in-the-ear styles. BTEs are also an excellent choice for children who may outgrow in-the-ear instruments

 

OPEN FIT BTE'S: Unlike traditional BTE (behind the ear) hearing aids open fit BTE's are usually smaller and use an inconspicuous tube instead of the traditional earmold in the ear. This keeps the ear canal open to reduce the plugged up sensation (occlusion.) Advances in feedback suppression in digital hearing aids allow the open fit without annoying feedback (squealing.)

This type of hearing aid is most appropriate for mild-moderate high frequency hearing loss.

 

ITE, In-The-Ear: These custom instruments fit entirely in the outer portion of the ear. This style is appropriate for mild or moderate hearing loss and usually has room to accommodate a telephone switch and directional microphones. The larger style is easier for patients with poor dexterity or arthritis.

 

ITC, In-The-Canal: Smaller than the ITE, these custom instruments fit entirely in the ear canal. This style is appropriate for mild or moderate hearing loss but may not work as well on the telephone. Directional microphones may be available depending upon ear size.

CIC, completely-in-the canal: ideally suited for mild to moderate hearing losses, including individuals with fairly severe high frequency sensorineural losses