In-the-ear and in-the-canal hearing aids

In-the-ear (ITE) and in-the-canal (ITC) hearing aids are small, discreet devices that fit into the ear. While less noticeable, their size limits their suitability, and most are only suitable for some older children with mild or moderate deafness. These aids are typically not available through the NHS.

More about other types of hearing aids.

Types of ITE and ITC aids

These hearing aids combine the microphone, processor, and receiver in one unit. The main types are in-the-ear (ITE), in-the-canal (ITC), and completely-in-the-canal (CIC) models.

In-the-ear (ITE) aids

ITE hearing aids are custom-made to fit within the outer portion of the ear. Their size allows for additional features like volume controls and directional microphones, but they are more visible than smaller models.

ITE aids are suitable for those with mild to severe deafness.

In-the-canal (ITC) aids

ITC hearing aids are moulded to fit partly in the ear canal, making them less visible than ITE models. Due to their smaller size, they may lack features such as volume controls.

ITC aids are suitable for those with mild to moderate deafness.

Completely-in-the-canal (CIC) aids

CIC hearing aids fit deeper into the ear canal, making them the least visible among the 3 types. Like ITC aids, their small size may limit features, such as volume controls.

CIC aids are suitable for those with mild to moderate deafness.

Limitations of ITE and ITC aids

Due to their small size, these aids can pose a choking hazard and are only recommended for older children and young adults.

They are more prone to faults than other types of hearing aids due to wax and moisture buildup. They may also not be suitable for those with ear infections or small ear canals.

For growing children, these devices require frequent resizing to fit their changing ear sizes. This means there will be times when the child is without their hearing aid while it is being resized.

For teenagers, it's important to consider personal preferences and lifestyle when choosing a hearing aid. Custom-moulded devices like ITE, ITC, and CIC may need to be remade as the ear develops. While the discreet nature of ITC and CIC models may appeal to teenagers and young people, it's always best to consult with an audiologist to determine the most suitable option based on their specific hearing needs.

How sound is perceived

While hearing aids help children hear more clearly, they do not restore typical hearing. For example, a child or young person may still struggle to hear if the speaker isn’t facing them, if they are too far away, or if there’s background noise.

Watch a simulation of what it sounds like to listen through hearing aids with and without a radio aid (YouTube).

Where to get ITE and ITC hearing aids

The NHS typically does not offer ITE, ITC or CIC hearing aids unless a child or young person cannot use a behind-the-ear hearing aid due to, for example, an underdeveloped outer ear.

They can be purchased privately through an independent provider. There are a range of different options available, and you should speak with your audiologist to explore the most suitable option. Find out more about buying hearing aids privately.

Since these devices are usually designed for adults, they only come in limited colours, usually beige or black.