Does the Receiver Type Used in Receiver-in-Canal Hearing Aids Have an Effect on Real-Ear-to-Coupler Difference and Coupler Response for Flat Insertion Gain Values?

Masoud  Bolandi; Ahmad Reza Nazeri; Hamid  Jalilvand; Alireza Akbarzadeh Baghban

doi:10.18502/avr.v33i4.16649

Masoud Bolandi Department of Audiology, University of Social Welfare and Rehabilitation Science, Tehran, Iran
Ahmad Reza Nazeri Department of Audiology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Hamid Jalilvand Department of Audiology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Alireza Akbarzadeh Baghban Proteomics Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/avr.v33i4.16649

Abstract

Background and Aim: Real-Ear-to-Coupler Difference (RECD) is affected by the type of transducer and its coupling method. This study aimed to investigate the effect of receiver type used in Receiver-in-Canal (RIC) hearing aids on RECD and Coupler Response for Flat Insertion Gain (CORFIG) obtained by the same coupling method.

Methods: In this study, the right ears of 30 normal-hearing adults (25 men and 5 women, with a mean age of 28.13±5.62 years) were studied. We used the RIC hearing aids with two standard and power receivers. The foam of the ER-3A insert earphone was used as a coupling system in both receivers. By using the Audiogram Direct test within Phonak’s fitting software, 70 dB HL intensity was produced at different frequencies, once in the real- ear and again in the HA-1 coupler. By assessing the difference between real-ear and HA-1 coupler measurements, the RECD was first obtained. Then, the CORFIG was obtained at different frequencies by subtracting the Microphone Location Effect (MLE) and RECD from Real-Ear Unaided Gain (REUG).

Results: The RECD and CORFIG values obtained from the standard receiver at all frequencies were significantly different from those from the power receiver (p<0.05), where the use of the power receiver resulted in lower RECD and higher CORFIG. With the increase in frequency, the RECD increased. A small frequency changes of 50 Hz had a significant effect on RECD and CORFIG.

Conclusion: The type of receiver used in RIC hearing aids has a significant effect on the RECD and CORFIG values.

Keywords: Real-ear measurement; real-ear-to-coupler difference; insertion gain; hearing aid