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Best behind the ear hearing aids for adults 2022

Behind-the-ear hear­ing aids are con­sid­ered one of the most inex­pen­sive and easy-to-use hear­ing aids: they are locat­ed behind the auri­cle, and a tube with an insert goes from the device into the ear canal. KP reveals the best behind-the-ear hear­ing aids of 2022
Best behind the ear hearing aids for adults 2022
The best behind-the-ear hear­ing aids for adults

Behind-the-ear hear­ing aids are pop­u­lar with many peo­ple who are hard of hear­ing. Although they are larg­er than in-the-ear and in-the-canal, they are cheap­er, eas­i­er to main­tain and have a num­ber of unde­ni­able advan­tages that make these mod­els one of the most pop­u­lar.

Oto­laryn­gol­o­gist, doc­tor of the high­est cat­e­go­ry Evge­nia Tsy­ganko­va says that behind-the-ear hear­ing aids are very diverse — these are clas­sic mod­els that are desir­able to be com­bined with indi­vid­ual ear inserts, these are “open pros­thet­ics” devices with micro­tubes and light inserts for exter­nal audi­to­ry canals. This is a very spe­cial group of hear­ing aids with an exter­nal receiv­er, the pow­er of which is deter­mined by the choice of the receiv­er, and they can be used to cor­rect almost any hear­ing loss.

Top 10 BTE Hearing Aids of 2022

1. Octave NOTE 16HP

Octave NOTA 16HP
Octave NOTA 16HP

The heavy-duty hear­ing aid Octa­va NOTA 16HP is designed for peo­ple with severe and pro­found hear­ing loss. Inside the device is a dig­i­tal 16-chan­nel proces­sor, there are sev­er­al noise reduc­tion sys­tems, includ­ing wind noise and feed­back. Var­i­ous micro­phone direc­tiv­i­ty modes allow you to use the hear­ing aid accord­ing to your needs. Thanks to the tech­nol­o­gy, the device pro­vides pure sound with­out back­ground noise, harsh sounds, whistling and echo. You can set dif­fer­ent acoustic pro­grams in the hear­ing aid, the max­i­mum sig­nal ampli­fi­ca­tion is 89 dB. The device can be used with a phone. The data log­ging func­tion helps to cap­ture infor­ma­tion about the oper­at­ing mode and make fin­er adjust­ments to the user’s needs.

Main characteristics

Machine type behind the ear
Degree of hear­ing loss III-IV degree (severe forms of hear­ing loss)
Sound pro­cess­ing dig­i­tal
Num­ber of chan­nels 16
Num­ber of pro­grams four

Pros and cons

afford­able price; designed specif­i­cal­ly for large and deep hear­ing loss­es; high intel­li­gi­bil­i­ty; the abil­i­ty to adjust the vol­ume and switch pro­grams.
no wire­less com­mu­ni­ca­tion with mobile phone.

Line of hear­ing aids NOTA® con­sists of 12 behind-the-ear clas­sic mod­els of three capac­i­ties (medi­um pow­er, pow­er­ful and extra pow­er­ful) and is pre­sent­ed in the mid­dle price seg­ment. The cost depends on the num­ber of sig­nal pro­cess­ing chan­nels, applied tech­nolo­gies, such as noise reduc­tion, feed­back sup­pres­sion, impulse noise sup­pres­sion, wind noise sup­pres­sion, etc. Detailed tech­ni­cal char­ac­ter­is­tics of the com­pa­ny’s hear­ing prod­ucts are pre­sent­ed on the offi­cial web­site of Hear­ing aids NOTA® (oktavasluh.ru).

Octave NOTA 16HP
High puri­ty sound with­out back­ground noise
Hear­ing aid Octave NOTA 16HP helps peo­ple with severe and deep degree of hear­ing loss. Inside it is a dig­i­tal proces­sor and micro­phones with three modes that ensure speech intel­li­gi­bil­i­ty in any envi­ron­ment.
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2. Oticon Xceed 1 BTE SP

Hearing aid Xceed 1 BTE SP
Hear­ing aid Xceed 1 BTE SP.

Heavy duty behind-the-ear hear­ing aid with dig­i­tal sig­nal pro­cess­ing. Designed for peo­ple with II-IV degree of hear­ing loss. The device is able to rec­og­nize and mask any unnec­es­sary noise and ampli­fy the tar­get sounds, which ensures high speech intel­li­gi­bil­i­ty even in noisy envi­ron­ments and when talk­ing with sev­er­al peo­ple. Feed­back sup­pres­sion sys­tem and tin­ni­tus gen­er­a­tor quick­ly neu­tral­ize whis­tle, echo and sub­jec­tive tin­ni­tus. The device is com­pat­i­ble with a wide range of acces­sories and devices via Blue­tooth and sup­ports stream­ing sig­nal from a mobile phone, TV, radio. The device is con­trolled by but­tons, remote con­trol and through a mobile appli­ca­tion.

Characteristics

Machine type behind the ear
Degree of hear­ing loss II–IV
Sound pro­cess­ing dig­i­tal
Num­ber of chan­nels 48
Num­ber of pro­grams four

Pros and cons

mobile phone com­pat­i­bil­i­ty; intel­li­gent noise reduc­tion sys­tem; mul­ti­ple con­trol options.
high price; big size.

3. Phonak Bolero B70-SP

Hearing aid Phonak Bolero B70 SP
Hear­ing aid Phonak Bolero B70 SP.

A heavy-duty busi­ness-class behind-the-ear hear­ing aid that can cor­rect mod­er­ate to severe hear­ing loss. The mod­el with an ergonom­ic design has a water­proof nano-coat­ed body and runs on 13 bat­ter­ies.

The AutoSense OS oper­at­ing sys­tem ana­lyzes the acoustic envi­ron­ment in real time and selects the most opti­mal set­ting for the user from 200 set­tings. Thanks to this, the own­er of the device hears well in any sit­u­a­tion and does not expe­ri­ence dis­com­fort when mov­ing from one sound envi­ron­ment to anoth­er. Feed­back sup­pres­sion sys­tem and tin­ni­tus gen­er­a­tor mask whistling, echoes and own tin­ni­tus. The mem­o­ry func­tion reg­is­ters the user’s most pop­u­lar set­tings and auto­mat­i­cal­ly applies them at the right time. The mod­el can con­nect to a smart­phone, tablet and oth­er devices via Blue­tooth, which pro­vides com­fort­able lis­ten­ing in stereo qual­i­ty.

Characteristics

Machine type behind the ear
Degree of hear­ing loss II-IV degree (mod­er­ate and severe forms of hear­ing loss)
Sound pro­cess­ing dig­i­tal
Num­ber of chan­nels 16
Num­ber of pro­grams four

Pros and cons

high intel­li­gi­bil­i­ty of speech and sounds in any con­di­tions; auto­mat­ic adjust­ment to the sound envi­ron­ment and user pref­er­ences; mul­ti­ple noise reduc­tion sys­tems.
high price.

4. Widex UNIQUE U‑FP 330

Widex Unique 100 Fashion Power hearing aid
Widex Unique 100 Fash­ion Pow­er hear­ing aid.

The pow­er­ful behind-the-ear dig­i­tal instru­ment comes in a dust- and splash-resis­tant hous­ing and is avail­able in 5 dif­fer­ent col­ors. The nano-coat­ing pro­tects the body from mois­ture and dirt and makes it eas­i­er to care for the device.

The mod­el helps to com­pen­sate for severe and deep hear­ing loss. It imple­ments a sound clas­si­fi­ca­tion tech­nol­o­gy that allows you to cap­ture and process sig­nals of dif­fer­ent fre­quen­cies. This allows the wear­er to per­ceive the sounds of the sur­round­ing world more accu­rate­ly and in detail. The noise can­cel­ing sys­tem can­cels out a vari­ety of unwant­ed sounds, includ­ing back­ground noise, impulse sounds, and wind noise. There is a tin­ni­tus gen­er­a­tor to sup­press your own tin­ni­tus.

The device is com­pat­i­ble with wire­less devices and acces­sories, con­trolled by but­tons on the case, from a phone or remote con­trol.

Characteristics

Machine type behind the ear
Degree of hear­ing loss I–II
Sound pro­cess­ing dig­i­tal
Num­ber of chan­nels ten
Num­ber of pro­grams four

Pros and cons

nat­ur­al sound; wire­less fea­tures; a suf­fi­cient lev­el of noise reduc­tion; ease of oper­a­tion.
high price; the need for fre­quent bat­tery replace­ment.
Good to know

1/6 of the world’s pop­u­la­tion suf­fers from par­tial deaf­ness: where does it come from

5. ReSound LiNX Quattro RE588

Hearing aid ReSound LiNX2 LS588-DW
Hear­ing aid ReSound LiNX2 LS588-DW.

Pow­er­ful pre­mi­um behind-the-ear hear­ing aid designed to cor­rect severe forms of hear­ing loss in adults and chil­dren. The mod­el is ful­ly com­pat­i­ble with iOS and Android devices via Blue­tooth, equipped with a tele­coil and direct audio input (DAI). The device imple­ments Noise Track­er II tech­nol­o­gy to clean speech from back­ground noise, so the man­u­fac­tur­er promis­es increased com­fort in noisy sit­u­a­tions. There is a feed­back sup­pres­sion sys­tem and a tin­ni­tus gen­er­a­tor to neu­tral­ize whistling, echoes and own tin­ni­tus. Self-fit­ting via but­tons or app, remote fine-tun­ing by hear­ing care pro­fes­sion­al pos­si­ble.

Characteristics

Machine type behind the ear
Degree of hear­ing loss III-IV
Sound pro­cess­ing dig­i­tal
Num­ber of chan­nels 12
Num­ber of pro­grams four

Pros and cons

high speech intel­li­gi­bil­i­ty; com­pat­i­bil­i­ty with wire­less devices.
high price; big size.

6. A&M XTM XP P6

Hearing aid A&M XTM P6 XP
Hear­ing aid A&M XTM P6 XP.

The heavy duty behind-the-ear hear­ing aid is designed for peo­ple with severe to pro­found hear­ing loss. Thanks to the feed­back sup­pres­sion sys­tem, the device neu­tral­izes echoes and whis­tles before the own­er notices them. This great­ly increas­es the com­fort of using the device. The noise man­ag­er func­tion allows you to sup­press non-speech sig­nals, rec­og­nize speech and make it clear and intel­li­gi­ble. To con­trol the device, there is a but­ton on the case, a remote con­trol and the Smart Remote App mobile appli­ca­tion. The data col­lec­tion log cap­tures the most com­mon usage pat­terns and allows the audi­ol­o­gist to fine-tune the device. The mod­el comes in an IP67 enclo­sure and is pow­ered by a 675 type bat­tery.

Characteristics

Machine type behind the ear
Degree of hear­ing loss III-IV
Sound pro­cess­ing dig­i­tal
Num­ber of chan­nels 12
Num­ber of pro­grams four

Pros and cons

helps to com­pen­sate for deep hear­ing loss; the bat­tery lasts a long time.
frag­ile body; high price; lim­it­ed design choic­es.

7. Source Audio Bagheera Pro-01

Hearing aid Istok-Audio Bagheera Pro-01
Hear­ing aid Istok-Audio Bagheera Pro-01.

Behind-the-ear dig­i­tal hear­ing aid with pro­gram­ma­ble pow­er and 16 chan­nels for pre­cise sound pro­cess­ing. Helps com­pen­sate for mod­er­ate to mod­er­ate hear­ing loss. The device is able to scan the sur­round­ing acoustic envi­ron­ment and deter­mine the direc­tion from which the most impor­tant sig­nal comes. Thanks to this, the user will hear well even in a dif­fi­cult sit­u­a­tion, for exam­ple, on the street or when com­mu­ni­cat­ing with sev­er­al peo­ple at once. Noise reduc­tion, feed­back sup­pres­sion and a tin­ni­tus gen­er­a­tor are pro­vid­ed to enhance acoustic com­fort.

The mod­el is com­pat­i­ble with FM sys­tems, has a tele­coil and an audio input. Hous­ing with an IP68 pro­tec­tion index is resis­tant to mois­ture and dust.

Characteristics

Machine type behind the ear
Degree of hear­ing loss II–III
Sound pro­cess­ing dig­i­tal
Num­ber of chan­nels 16
Num­ber of pro­grams 2

Pros and cons

noise reduc­tion func­tions; pro­tec­tion against mois­ture ingress.
no recharge func­tion; bat­ter­ies must be changed reg­u­lar­ly; vol­ume con­trol is easy to hit.

8. Bernafon Inizia 3N

bernafon Inizia 3 N hearing aid
Hear­ing aid berna­fon Inizia 3 N.

This is a chan­nel­less dig­i­tal behind-the-ear hear­ing aid designed for peo­ple with grade I‑II hear­ing loss. The mod­el runs on 312 bat­ter­ies. Thanks to the adap­tive direc­tion­al­i­ty of the micro­phone and the adap­tive noise reduc­tion sys­tem, the device is able to iso­late the speech sig­nal and neu­tral­ize extra­ne­ous noise. This allows you to hear well in noisy envi­ron­ments. The feed­back sup­pres­sion sys­tem pre­vents whistling and echoes from appear­ing when using the device. Built-in detec­tors mon­i­tor the acoustic envi­ron­ment and help the device per­form accord­ing to the needs of the user.

Characteristics

Machine type behind the ear
Degree of hear­ing loss I–II
Sound pro­cess­ing dig­i­tal
Num­ber of chan­nels Chan­nel­less
Num­ber of pro­grams 3

Pros and cons

afford­able price; allows you to hear well in noisy envi­ron­ments.
not suit­able for peo­ple with severe hear­ing loss; lack of mois­ture pro­tec­tion.

9Aurica Pixel 860DP

Aurica Pixel 860DP hearing aid
Auri­ca Pix­el 860DP hear­ing aid.

The Auri­ca Pix­el 440DSP behind-the-ear dig­i­tal device helps with II-III degree hear­ing loss. The advan­tages of the mod­el include the abil­i­ty to scan the sound envi­ron­ment, rec­og­nize and enhance qui­et speech and neu­tral­ize extra­ne­ous sounds. The device has a feed­back sup­pres­sion sys­tem that masks echo and whis­tle in a time­ly man­ner. And the tin­ni­tus gen­er­a­tor helps elim­i­nate your own tin­ni­tus. Thanks to the data log­ging log, the device “remem­bers” pop­u­lar set­tings for the user. Sub­se­quent­ly, this infor­ma­tion will help the audi­ol­o­gist adjust the device more accu­rate­ly. Nano-coat­ed water­proof hous­ing repels mois­ture, dust and dirt.

Characteristics

Machine type behind the ear
Degree of hear­ing loss II–III
Sound pro­cess­ing dig­i­tal
Num­ber of chan­nels eight
Num­ber of pro­grams eight

Pros and cons

tin­ni­tus gen­er­a­tor to mask tin­ni­tus; case with water-repel­lent coat­ing.
need fre­quent bat­tery replace­ment; There are prob­lems with phone calls.

10. Rhythm Mond P

Hearing aid RITM MOND R
Hear­ing aid RITM MOND R.

A chan­nel­less hear­ing aid with dig­i­tal sig­nal pro­cess­ing is suit­able for peo­ple with II-III degrees of hear­ing loss. Despite the bud­get price, the mod­el has all the nec­es­sary options. The Feed­back Sup­pres­sion Sys­tem neu­tral­izes hiss and echoes, the Adap­tive Noise Can­cel­la­tion sys­tem masks back­ground sounds, and the Qui­et Noise Man­ag­er reduces low fre­quen­cy sig­nals. The device can make speech more intel­li­gi­ble thanks to the “speech sig­nal pri­or­i­ty” func­tion. The data log­ging diary stores infor­ma­tion about all pop­u­lar set­tings. The mod­el runs on 13 bat­ter­ies. The device has a tele­coil, an exter­nal vol­ume con­trol and an audio input.

Characteristics

Machine type behind the ear
Degree of hear­ing loss II–III
Sound pro­cess­ing dig­i­tal
Num­ber of chan­nels Chan­nel­less
Num­ber of pro­grams 3

Pros and cons

afford­able price.
fre­quent replace­ment of bat­ter­ies is nec­es­sary; does not com­pen­sate for pro­found hear­ing loss.

How to choose a behind-the-ear hearing aid

Otorhi­no­laryn­gol­o­gist of the Euro­pean Med­ical Cen­ter, doc­tor of the high­est cat­e­go­ry, Ph.D. Evge­nia Tsy­ganko­va told We how to choose a behind-the-ear hear­ing aid for an adult.

Popular questions and answers

When is it appropriate to use a hearing aid?

An audi­o­log­i­cal indi­ca­tion for the fit­ting of hear­ing aids is the excess of the aver­age thresh­old in the speech fre­quen­cy range on the bet­ter hear­ing ear over 35 dBnHL (nor­mal hear­ing thresh­olds) accord­ing to the results of tone thresh­old audiom­e­try. But for dif­fer­ent peo­ple, depend­ing on the way of life, work­ing con­di­tions, the need for the selec­tion of devices can some­times arise even with very slight loss­es. For most peo­ple, the desire to pur­chase hear­ing aids appears at an aver­age hear­ing thresh­old of about 40 dB.

The intro­duc­tion of quar­an­tine mea­sures and the mask regime have increased the need for the use of hear­ing aids for peo­ple with minor hear­ing loss­es. Those who have devel­oped the abil­i­ty of audi­to­ry-visu­al per­cep­tion (based on the lips of the speak­er) with a grad­ual slow decrease in hear­ing have lost this oppor­tu­ni­ty in pub­lic places. In addi­tion, the use of masks impov­er­ish­es the speak­er’s speech with high-fre­quen­cy com­po­nents, which are already in short sup­ply — speech becomes even more illeg­i­ble. Hear­ing aid man­u­fac­tur­ers have devel­oped a spe­cial “mask” adjust­ment pro­gram to fill the full fre­quen­cy spec­trum of speech.

What are the most important parameters of a behind-the-ear hearing aid?

Impor­tant para­me­ters of hear­ing aids are pow­er, fre­quen­cy range, num­ber of lis­ten­ing pro­grams, tech­no­log­i­cal class of elec­tron­ics. Sep­a­rate­ly, the appear­ance of the device is select­ed. In order to suc­cess­ful­ly select hear­ing aids, it is not nec­es­sary to study deeply the basics of hear­ing aids on your own, it is enough to come to a spe­cial­ist and for­mu­late your wish­es. The nec­es­sary infor­ma­tion can be obtained at a con­sul­ta­tion, on the web­sites of man­u­fac­tur­ers of reha­bil­i­ta­tion equip­ment and med­ical orga­ni­za­tions.

What are the contraindications for behind-the-ear hearing aids?

There are no audi­o­log­i­cal con­traindi­ca­tions to behind-the-ear devices; they are func­tion­al­ly rich­er than in-the-ear coun­ter­parts due to the use of a sys­tem of direc­tion­al micro­phones. Aes­thet­i­cal­ly, behind-the-ear hear­ing aids can look quite sophis­ti­cat­ed. The size of the devices on small bat­ter­ies allows you to dis­creet­ly place them behind the ear. Body col­ors can be cho­sen to match skin and hair tones, or vice ver­sa, mak­ing them stand out.

A rare con­traindi­ca­tion for the use of behind-the-ear mod­els may be struc­tur­al fea­tures of the auri­cle. But for most patients, behind-the-ear mod­els are com­fort­able and effec­tive.

What are the benefits of behind-the-ear hearing aids?

1. High pow­er. The patient can choose a device for any degree of hear­ing loss, cor­rect hear­ing both in one ear and in both. They are used for both mild hear­ing loss and deep, up to almost com­plete hear­ing loss.

2. Eco­nom­i­cal pow­er con­sump­tion. One bat­tery can last for a peri­od of 10–15 days to a month.

3. Light­weight instru­ment cas­es, but at the same time quite durable, which dis­tin­guish­es these prod­ucts from their more minia­ture coun­ter­parts. There­fore, behind-the-ear devices are the most durable. They are usu­al­ly made of durable plas­tic and come in a vari­ety of col­ors.

4. Behind the ear hear­ing aids are easy to use, they have the most com­fort­able fit­ting that the patient can do after the hear­ing aid is ini­tial­ly adjust­ed by the doc­tor.

5. Most mod­els are much cheap­er than in-the-ear and in-ear devices. But the cost depends on the num­ber of func­tions and addi­tion­al set­tings, the abil­i­ty to syn­chro­nize with smart­phones, the avail­abil­i­ty of mod­ules, etc.

What are the disadvantages of behind-the-ear hearing aids?

1. Fea­tures of fix­ing the device make it vis­i­ble to oth­ers. If women can still hide the device behind a lush hair­do, it is more dif­fi­cult for men in this regard. This may give some psy­cho­log­i­cal dis­com­fort.

2. Wear­ing a behind-the-ear hear­ing aid lim­its your lifestyle a lit­tle. These devices do not always allow you to engage in active sports, the device can sub­side and be dam­aged when it falls.

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