BTE vs. RIC Hearing Aids: Which one is more suitable for me?

If you have started thinking about purchasing an additional medical device that will help you hear, it is absolutely normal to worry about which one to choose and which one to keep.There are several types of hearing aids available on the market today, but the two most popular types are receiver-in-the-canal (RIC) and behind-the-ear (BTE) hearing aids. Although these two styles look similar in appearance and have some similar features and benefits, having a few critical differences sets them apart.

Similarities between BTE hearing aids and RIC hearing aids

RIC and BTE hearing aids both have a hard case or housing which is located behind the ear. The case houses most (or in some cases all) of the hearing aid’s electronic components, such as the microphone, amplifier, digital chip and speaker.

The two styles also come with a headset placed in an earbud, which can be either a custom ear cup or a non-custom ear dome. The headset is connected to the hearing aid via a tube, ear hook or thin wire, depending on the style.

Technically, BTE and RIC hearing aids are equipped to make the most of modern life. You can find features for both styles depending on the model.

●Flowing directly from your smartphone

●Tweeter treatment/relief

●Completely rechargeable (no battery replacement)

●Remote volume/program adjustment via mobile app

Three differences between BTE hearing aids and RIC hearing aids

Device size

BTE hearing aids are traditionally larger because all electronic components must be housed in the housing. Larger housings also allow for larger batteries for greater amplification power (see below). However, the BTE model’s reputation for being large and bulky is quickly disappearing as today’s models have a slimmer, sleeker design like the RIC-style hearing aids.

Amplification Capabilities

The traditional slender shape of BTE hearing aids allows them to accommodate powerful amplifiers and large batteries. They can amplify sound in both the high-frequency and low-frequency ranges. RIC hearing aids can also provide a considerable range, but those with severe hearing loss may still need the extra boost of the BTE style.

Speaker Position

Among the most significant differences between RIC and BTE hearing aids is the position of the speaker (or receiver). Speaker position can help reduce feedback, resulting in better sound quality. In behind-the-ear hearing aids, the speaker is located inside the hard shell along with the rest of the electronics. A canal receiver hearing aid, on the other hand, places the speaker on the end of a thin wire attached to the housing. The speaker is then enclosed in a flexible earmold or earmould placed in the ear. Placing the speaker in the ear canal allows the hearing aid to be made smaller.

Advantages and disadvantages of RIC and BTE hearing aids

BTE Hearing Aids: Pros and Cons

Pros: Behind-the-ear hearing aids offer the most powerful sound amplification of any style, making them suitable for all levels of hearing loss, especially those with profound and/or high-frequency hearing loss.

With all the sensitive electronics located outside the ear, BTE styles are less susceptible to moisture and wax damage, two of the main causes of hearing aid damage. Even when these pests are present, they are usually easily removed from the tubes with an air blower or flushed from the earmold by separating and soaking in warm soapy water. The result? Fewer repairs and longer life.

The traditionally larger size of BTE hearing aids also makes them easier to insert/remove, adjust settings and replace batteries, a major benefit for people with dexterity issues.

Cons: Traditional BTE models – especially those that offer maximum amplification – still tend to be larger and thicker. In addition to being more pronounced, larger cases may feel heavier or more uncomfortable for some wearers. While earmuffs are available for select BTE styles, many BTE hearing aids still require earmuffs, which are often more pronounced and can lead to a more clogged feeling.

RIC Hearing Aids: Pros and Cons

Pros: Since RIC cases do not need to accommodate a speaker, they are typically slimmer and smaller than most BTE models. the RIC style also has a thin wire, rather than an ear hook or tube, and when combined with a small translucent ear dome, they are virtually invisible to others.

As the speaker moves closer to the ear canal, the sound from RIC hearing aids tends to be clearer and more complete. Isolating the speaker from the microphone minimizes another common complaint: feedback.

The open and semi-open fit earmuffs of RIC hearing aids also allow low frequency sounds to escape, resulting in a more natural sound.

Cons: The small size of RIC hearing aids can make them more difficult to insert/remove, adjust settings and clean, especially for those with limited motor skills. While it can accommodate a range of hearing loss levels, it does not provide as much amplification as the BTE. the placement of the speaker in the ear canal also makes it more susceptible to moisture and wax buildup, so regular maintenance is required to minimize damage or sound problems.