Behind-the-ear hearing aids work by using a microphone to capture sounds, processing them digitally to amplify and clarify them and delivering the enhanced sound to the ear through a tube and ear mould. The main housing of the BTE hearing aid sits behind the ear, which holds the microphone, amplifier and speaker, and is connected to the ear mould by a clear, plastic tube. This ear mould is often custom-made to fit the shape of the user’s ear and ensure maximum comfort. 

If you’d like to learn more about behind-the-ear hearing aids and find out if they’re the right option for you, we recommend booking a hearing aid consultation and hearing test. 

No, behind-the-ear hearing aids are not necessarily ‘better’ than in-the-ear models. BTE hearing aids typically tend to be more powerful, making them a better choice for those with severe or profound hearing loss. However, In-the-ear hearing aids are a more discreet option for those with mild to severe hearing loss, but they’re likely not powerful enough for individuals with profound loss. 

Behind-the-ear and in-the-canal hearing aids are very different types of hearing aids. Traditional BTE models sit mostly behind the ear with only a small portion of the hearing aid sitting in the ear, while ITC models sit inside the ear canal. Let’s look at these differences in more detail below:

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• Visibility: ITC hearing aids sit partially in the canal, making them a more discreet option than traditional behind-the-ear models or larger in-the-ear models. However, many modern BTE models are much smaller than older models and typically only a thin, clear tube is visible from the front. 

• Power and amplification: Because BTE hearing aids are larger, they offer much higher amplification, making them particularly ideal for individuals with severe or profound hearing loss. 

• Comfort: BTE hearing aids may be more comfortable than ITC models, because they sit behind the ear rather than in the ear canal. 

• Range of features: Because of their size, BTE hearing aids come with a wide range of features, such as Bluetooth connectivity, which might be available in some ITC or invisible models. 

• Ease of use: BTE hearing aids are typically easier to use, insert and remove than smaller hearing aid models, such as in-the-canal options, especially for individuals with dexterity issues. They typically also have buttons on the hearing aid itself, allowing users to adjust the volume or programme easily without using an app.

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Yes, it is possible to wear behind-the-ear hearing aids with glasses. However, typically smaller BTE models will be more comfortable to wear with glasses than larger ones. It’s also important to opt for frames with thin temples (arms), which allow more room behind the ear for the hearing aid. If you’re struggling with wearing your behind-the-ear hearing aids with your glasses, you might want to consider opting for an in-the-ear model instead. 

To ensure your behind-the-ear hearing aid stays in place, you should ensure that it fits properly. The ear mould should be properly inserted into the ear canal, and the main hearing aid unit should rest comfortably behind your ear with the tube positioned correctly. You can also use hearing aid hooks and clips to keep your BTE hearing aid securely in place, especially during activities or sports. 

​Yes, behind-the-ear hearing aids are typically visible when worn as the main unit sits outside the ear. However, modern BTE models are much smaller, sleeker and more discreet than older models and come in a wide range of colours to suit aesthetic preference or skin tones. 

Behind-the-Ear hearing aids can range in price from £1495 for one up to £3790 for a pair. Basic models are generally less expensive, while more sophisticated behind-the-ear (BTE) models with advanced features and improved clarity in noisy environments typically come at a higher cost.

​If you have profound hearing loss and need a hearing aid with powerful amplification, a behind-the-ear model will likely be the best option. A BTE model might also work well if you prefer a larger hearing aid that’s easy to handle, insert and clean with a wide range of features. If you’re having trouble deciding between hearing aid models, we recommend booking a hearing aid consultation and hearing test.