The occlusion effect in unilateral versus bilateral hearing aids

J Am Acad Audiol. 2006 Nov-Dec;17(10):763-73. doi: 10.3766/jaaa.17.10.7.

Abstract

The benefit of bilateral hearing aids is well documented, but many hearing-aid users still wear only one aid. It is plausible that the occlusion effect is part of the reason for some hearing-aid users not wearing both hearing aids. In this study we quantified the subjective occlusion effect by asking ten experienced users of bilateral hearing aids and a reference group of ten normal-hearing individuals to rate the naturalness of their own voice while reading a text sample aloud. The subjective occlusion effect was evaluated in the unilateral versus bilateral condition for a variety of vent designs in earmolds and in a custom hearing aid. The subjective occlusion effect was significantly higher for bilateral hearing aids with all vent designs with the exception of a non-occluding eartip option. The subjective occlusion effect was reduced with the more open vent designs in both the unilateral and bilateral conditions. Assuming that the occlusion effect is a barrier to bilateral hearing aid use, these results indicate that open-hearing-aid fittings can help promote the use of two aids.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acoustic Stimulation
  • Auditory Threshold / physiology
  • Case-Control Studies
  • Ear Canal / physiology*
  • Equipment Design
  • Hearing Aids* / adverse effects
  • Hearing Loss / rehabilitation*
  • Humans
  • Loudness Perception / physiology*
  • Regression Analysis