BTE hearing aids: Benefits and drawbacks

Benefits: Behind-the-Ear hearing aids offer the most powerful sound amplification out of any style, making them suitable for all levels of hearing loss—particularly those with profound and/or high-frequency hearing loss.


Since all sensitive electronics rest in the case outside of the ear, BTE styles are less susceptible to moisture and wax—the two leading causes of hearing aid damage. Even when those pests are present, they can often be easily cleared out of the tubing with an air blower or washed from the earmold by detaching and soaking it in warm, soapy water. The result? Fewer repairs and longer lifespan.


BTE hearing aids’ traditionally larger size also makes them easier to insert/remove, adjust settings and replace the battery—a big benefit for those with dexterity concerns.


Drawbacks: Traditional BTE models—particularly those that offer maximum amplification—still tend to be bigger and thicker. Besides being more visible, the larger case may feel heavier or more uncomfortable for some wearers. And while ear domes are available for select BTE styles, many BTE hearing aids still require an ear mold, which are typically more noticeable and can lead to a more plugged-up feeling.

RIC hearing aids: Benefits and drawbacks

Benefits: Since the RIC’s case doesn’t need to house the speaker, it’s typically slimmer and smaller than most BTE models. RIC styles also boast a thin, electrical wire instead of an ear hook or tubing, which when combined with a small, translucent ear dome makes them barely visible to others.


Sounds tend to be clearer and more intact with RIC hearing aids, as the speaker rests closer to the ear canal. And distancing the speaker from the microphone minimizes another common complaint: feedback.

RIC hearing aids’ open and semi-open fit ear domes also allow low frequency sounds to escape, resulting in a more natural-sounding speaking voice.

Drawbacks: The smaller size of RIC hearing aids may make them more difficult to insert/remove, adjust settings and clean—especially for those with limited fine motor skills. And while it can accommodate a range of hearing loss levels, it does not offer as much amplification as the BTE. The placement of the speaker in the ear canal also makes it more vulnerable to moisture and wax buildup, thus requiring regular maintenance to minimize damage or sound issues.