Completely-in- Canal hearing aids are very small custom hearing aids. Many patients who are interested in this style express interest due to the small size, custom fit, and discrete nature of the hearing aids compared to other larger custom products or their perception of behind-the-ear hearing aid styles.
Now it is important to know that CIC products are not an option for every patient dependent on their anatomy, but also their hearing loss. For patients with fairly good low frequency hearing, custom products are not recommended due to your perception of your own voice. These also do not work for very severe to profound hearing loss as the strength of the speaker is not high enough given the limited amount of space available inside the hearing aid.
Some possible cons of Completely-in- Canal hearing aids are difficulty with insertion of the devices for patients who have poor vision or dexterity concerns, reduced access to manual control buttons depending on size/shape of ear canal, and possibility of having to replace manual batteries frequently (Every 3 to 5 days typically). There are a few rechargeable completely-in-canal hearing aids on the market, such as the Starkey Signature Series and Oticon Zeal products. The signature Series custom rechargeable CIC; however, cannot connect to Bluetooth, and the Oticon Zeal is a non-custom CIC with a non-removable retention line which allows for Bluetooth. So, depending on patient goals, ear canal size and shape, etc. options do become more limited.
It is also important to be aware that typically for custom or CIC products, there is not much we can fix in the office. We can replace the wax filter or replace the battery door, but we cannot fix the internal components, etc. Should a patient significantly gain or lose weight and the size of the ear canal change, there is a very limited remake period on the hearing aid of 90 days postproduction date. Should the hearing aid no longer fit then we would need to consider a new order, or in office work around. Should the hearing aid be damaged, the hearing aid would be out for 2 to 3 weeks for repair.
CIC products are a nice option that many patients note they are interested in; however, given all the items above, it is not for every patient. If you are interested in a CIC product, please make sure to notify your Audiologist or Hearing Instrument specialist so that we can counsel you on your options and our recommendations.
