For many deaf people, hearing aids are indispensable assistive devices. Not only can they improve the hearing level of deaf people, protect residual hearing, and prevent cognitive disorders, but they can also improve their quality of life and enhance their social skills. How many steps are involved in the fitting of hearing aids? What should be paid attention to after wearing hearing aids? Why do some people not want to wear hearing aids? Let’s answer the questions related to the fitting of hearing aids with Xiaota.
As for myopia glasses, everyone knows that you must have an eye examination to understand the visual acuity and get accurate data, and adjust repeatedly to ensure that all parameters are appropriate before wearing them. Similarly, hearing aids should not be purchased and worn casually. Everyone has a different degree of hearing loss, and a comprehensive understanding of the hearing condition is needed before wearing a hearing aid. During the fitting, it is also necessary to adjust repeatedly to make the hearing aid reach the best level as far as possible, so that the wearer can hear, understand, and enjoy good hearing, and the wearer should feel comfortable and natural when using it. For example, it is necessary to understand whether the high-frequency sound compensation is in place, whether the low-frequency sound compensation is too strong, whether the sound is too loud when used, and whether the hearing is good in a noisy environment, so as to choose a hearing aid with satisfactory power, performance, and style.
In short, if you do not go through the fitting and buy and wear hearing aids casually, the effect of hearing aids can hardly be guaranteed, and it may even lead to further decline in original hearing.
01 General steps for hearing aid fitting

- A full-body and otological examination should be performed on the patient first, paying particular attention to the condition of the outer ear and eardrum, to rule out any contraindications for hearing aid use. Then, a comprehensive audiological examination should be completed to obtain as much information about hearing as possible, with the aim of determining the degree of hearing loss in each octave from 250 Hz to 8000 Hz.
- It is to determine which ear to wear the hearing aid. Hearing aids are advocated to be worn in both ears. Because it is easier to hear in both ears in a noisy environment and it is beneficial for the localization of sound sources. If wearing a single hearing aid, the side without the hearing aid will experience a decline in hearing and speech recognition ability. If the patient is not allowed to wear a hearing aid in both ears due to various conditions, it is necessary to determine which ear to wear it.
- It is to make an ear mold with acoustic effect. Patients with mild hearing loss can also try wearing an earplug first to get a general idea of the effect of the hearing aid, but patients with severe hearing loss must take an ear mold before trying to wear it, otherwise, the wearer may lose confidence in hearing compensation because the hearing aid cannot play its full effect.
- It is to select the appropriate hearing aid for the patient based on the results of the audiological examination, the wearer’s wishes, the working environment, and the economic affordability, including power, performance, type, style, and shell color.
- The doctor will connect the hearing aid selected by the patient to the matching software for programming, adjustment, and auxiliary function setting.
- Let the patient try wearing the hearing aid in the clinic for a period of time, and then evaluate the effect of the hearing aid in different acoustic environments (such as quiet environment, two-person conversation environment, party meeting and other multi-person conversation environment, roadside vegetable market and other language noise environment). It should be pointed out in particular that when evaluating the effect of a hearing aid, not only the aided hearing threshold should be tested, but also the aided discomfort threshold should be tested. Many people refuse to wear hearing aids because of a bad wearing experience, which is related to the lack of emphasis on the test of the aided discomfort threshold or the failure to adjust the hearing aid in time according to the test prompts.
- After children and adult patients have worn and adjusted the hearing aids, they should evaluate the practical effect of the hearing aids by means of speech testing after the adaptation period; for infants who have not yet developed language and cannot cooperate, they should also be evaluated frequently by the sound field method and adjust the parameters according to the evaluation results and usage feedback.
02 Unable to complete the adaptation training

Just like wearing glasses for myopia and dental prostheses, there are many things that are not used to wearing hearing AIDS for the first time, especially for those patients who have been hearing loss for a long time and have adapted to a quiet environment. After wearing hearing AIDS, they will feel that the surrounding noise is too loud and unbearable, and some patients will refuse to wear them because of this. In fact, as long as the adaptation training is completed step by step, it is not difficult to accept the hearing AIDS.
When wearing hearing AIDS for the first time, the volume should be turned down a little, and practice listening to some favorite sounds in a relatively quiet environment, such as the sound of clocks, the flow of tap water, and the sound of one’s own footsteps. Gradually transition to a sound environment where two or three people are talking. After a period of adaptation, go to a more noisy environment, such as a small discussion meeting, party, etc. Finally, go to public places such as shopping malls, theaters, and supermarkets. The time of wearing should also be gradually increased from less to more, and finally transition to full-time wearing. As for how long it takes to fully adapt to hearing AIDS, it varies from person to person. Some people can accept it in a few days, while others may need several weeks or even months to adapt.
In short, the key point of adaptation training is to gradually transition from quiet to noisy environment, and pay attention to the wearing time from short to long.
03 Regular follow-up is important
After hearing aid fitting, if the wearer’s hearing changes or the performance of the hearing aid changes the effect of hearing compensation cannot be guaranteed. Especially for young children who are wearing hearing aids for the first time, their ability to respond to sound will gradually improve, and the degree improvement varies from person to person, which requires close observation to master; the hearing of elderly patients is also prone to some changes, so after wearing hearing aids, it is necessary to review the patient’s hearing, the performance of the hearing aid and the hearing aid effect, and adjust problems found in time, so as to give full play to the best effect of the hearing aid.
04 How to maintain hearing aids

In addition to regular maintenance at the fitting institution, during daily use, the wearer or caregiver also needs to pay attention to the following points.
Moisture-proof. Keep the hearing aid dry, wipe the sweat on the surface of the hearing aid with a soft cotton cloth in time, and place the hearing aid in a dry box when not in use. Be sure to take off the hearing aid when washing your hair, bathing, or swimming. Hearing aids should not come into direct contact with rainwater. If the hearing aid gets damp by accident, it should be placed in a dry bottle to absorb moisture or left to dry naturally. Do not use fire or high temperature to dry it, and also avoid direct sunlight.
Anti-corrosion. To prevent the hearing aid from being corroded by battery fluid, the battery should be removed when it is not used for a long time. After taking off the hearing aid at night, open the battery compartment or remove the battery. Do not use corrosive solutions to clean the hearing aid.
Shock-proof. The important components inside the hearing aid, such as the microphone and receiver, are very easy to damage if they are subjected to strong vibrations. The wearer should take off and put on the hearing aid in a soft environment (such as a bed, sofa, etc.) to avoid the hearing aid falling and damaging on a hard surface. In addition, after taking off the hearing aid, it should be placed in a safe place to avoid damage from children or pets.
Cleaning. Keep the hearing aid clean, clean the hearing aid with a dry cotton ball at least 1 to 2 times a week, and use alcohol to wipe it if necessary. Liquids should be avoided from flowing into the hearing aid. Often clean the dirt and water accumulated in the ear plug or earmold channel, and check if there is any foreign matter blocking the microphone port. For in-ear hearing aids, pay attention to using a small brush to clean the earwax blocked at the sound outlet, and replace the earwax guard if necessary. If the hearing aid has an unknown fault, it should be repaired in time, and do not disassemble it without authorization, so as to avoid unnecessary loss.


