Hearing Aid Styles (Cleveland Clinic)

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Hearing aids come in a variety of styles. Each style has its own advantages and limitations. Selecting a style that is right for you depends on a number of factors, including:

  • The severity of your hearing loss
  • The size and shape of your ear
  • Your personal preferences
  • How well you can use your finger and hands (manual dexterity)
  • The availability of new hearing aid technologies

Several different styles of hearing aids are described below.

Behind-the-ear
Behind-the-ear (BTE) hearing aids are housed in a curved case that fits neatly and comfortably behind or over your ear. A custom ear mold is made to the exact shape of your ear. The custom ear mold is used to direct the sound from the hearing aid into your ear and to secure the hearing aid in place. See photo to left.

People with a wide range of hearing losses, from mild to severe, can be fitted with BTE hearing aids. Because the components are housed outside of the ear, they tend to be the most durable. BTE hearing aids need less repair and have a longer life expectancy. They can be worn easily, even by people who wear eyeglasses.

Open ear hearing devices
Open ear hearing aids are housed in a miniature case that fits over or behind your ear. In most cases, there is no custom piece that fits into your ear canal. The open ear hearing aid consists of a miniature behind-the-ear (BTE) hearing device coupled to an ultra thin tube with a soft rubber tip that fits in the ear. These instruments are appropriate for people with normal to near normal hearing in the low pitches, and a mild to moderately severe hearing loss in the high pitches. This hearing aid helps in reducing complaints related to loudness of a patient’s own voice, known as the occlusion effect. With the miniature BTE case and thin tubing, this hearing aid is very cosmetically appealing. Because this aid is smaller, sufficient manual dexterity is necessary to ensure proper insertion and placement. See photo to right.

In-the-ear
In-the-ear (ITE) hearing aids are custom designed and fit directly into your ear, filling most of the visible portion of your ear. All of the components are housed within a single plastic shell. They have no external wires or tubes, and are very light in weight. When properly made, they fit comfortably and securely in the ear. The ITE hearing aid can be used by people who have mild to moderately severe hearing losses. See photo to left.

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Last Updated: 7/6/2010

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