Name of the Procedure:

Hearing Aid, Analog, Binaural, ITC (V5249)

• Common names: Hearing aid fitting, Analog hearing aids
• Technical terms: Binaural In-The-Canal Analog Hearing Aid Fitting

Summary

Analog binaural in-the-canal (ITC) hearing aids are devices placed within the ear canal to amplify sound for individuals with hearing loss. These devices convert sound waves into electrical signals and amplify them to improve the wearer’s hearing.

Purpose

• Medical conditions: Addresses various degrees of hearing loss.
• Goals: To improve auditory perception, enhance communication abilities, and improve quality of life.

Indications

• Symptoms: Difficulty in hearing, particularly in both ears.
• Conditions: Sensorineural hearing loss, conductive hearing loss.
• Patient criteria: Recommended for individuals who prefer analog sound processing and have a smaller ear canal where ITC devices are suitable.

Preparation

• Instructions: No specific fasting or medication adjustments are typically required.
• Assessments: Comprehensive audiological evaluation to determine the degree and type of hearing loss.

Procedure Description

1. Initial Assessment: Audiologist performs a complete hearing test and ear examination.
2. Ear Impression: Measurement of the ear canal is taken to ensure a custom fit.
3. Device Selection: Choice of analog, binaural ITC hearing aids based on audiogram results and patient preference.
4. Fitting: Hearing aids are programmed and adjusted to the patient’s specific hearing loss profile.
5. Verification: Real-ear or simulated ear measurements to verify the device’s amplification levels.

• Tools/Equipment: Audiometer, ear impression materials, hearing aid programming software.
• Anesthesia: None required.

Duration

The process generally takes about 1 to 2 hours, with follow-up visits for adjustments.

Setting

Typically performed in an audiologist’s office or hearing clinic.

Personnel

• Audiologist: Conducts the hearing test, impression, fitting, and adjustments.
• Audiology Assistant: May assist with the initial assessments and preparation.

Risks and Complications

• Common risks: Ear canal irritation, discomfort from the fit.
• Rare risks: Allergic reaction to materials, ear infections.
• Management: Adjustments to the device, medical treatment for any infections or reactions.

Benefits

• Expected benefits: Improved hearing and communication abilities almost immediately.
• Realization time: Benefits are normally realized within a few days to a couple of weeks as the patient adapts to the hearing aid.

Recovery

• Post-procedure care: Regular maintenance and cleaning of the hearing aids.
• Recovery time: Immediate; no downtime required.
• Follow-up: Usually includes follow-up appointments for further adjustments and hearing evaluations.

Alternatives

• Digital hearing aids: Offer more advanced features and sound processing.
• Pros: Digital aids may provide clearer sound quality and are programmable.
• Cons: Typically more expensive compared to analog options.

Patient Experience

• During procedure: Patient may experience mild discomfort during ear impressions.
• After procedure: Period of adjustment to the new amplified sounds.
• Pain management: Generally not needed; any minor discomfort is managed through fit adjustments.