Glossary of Terms

 

Acoustic Tubing
Flexible plastic tube connecting a conventional Behind-The-Ear (BTE) hearing aid to the ear mold

Acquired hearing loss
Hearing loss obtained after birth (not congenital). Noise, disease, viruses, drugs or old age can cause an acquired hearing loss.

Amplifier
The amplifier constitutes the electronics of the hearing aid and consists of various circuit elements. The amplifier processes the signal from the hearing aid’s microphone according to the settings of the hearing aid.

Assistive listening devices
These are devices, such as a telephone amplifier or remote doorbell, which can help you in situations where you have difficulty hearing - either because of background noise or because sounds come from far away.

Audiogram
An audiogram is the written record of a hearing test. More precisely, it is a graphical representation of hearing threshold for pure tones. For each ear it shows the minimum loudness required for the tested person to be able to hear each sound (per different frequency or pitch).

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Audiologist
Audiology is the science of hearing. An audiologist is a degreed professional (master's level or higher) trained to evaluate hearing loss and prescribe, fit and adjust hearing aids and assistive listening systems.

Audiology

Branch of healthcare devoted to the study, diagnosis, treatment, and prevention of hearing disorders

Auditory nerve
This is the auditory section of the central nervous system. This nerve transmits the auditory information to the brain.

Automatic Program
Automatic Programs detect changes in the listening environment and engage/disengage features such as noise reduction, directional microphones, wind management, etc. based on the level, duration, frequency, etc.

Background Noise
Generally refers to the presence of other sound in an environment that is not the speech one is trying to hear.

Binaural
Listening with both ears

Body Hearing Aid
Is a hearing aid in which the microphone, amplifier, and battery are housed in a small unit worn on the body.  An earmold is connected to a receiver that is connected by a cord to the hearing aid. This type of hearing aid is capable of providing powerful amplification.

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BTE

Behind-The-Ear hearing aids are suitable for all types of hearing losses from mild to profound.  The amplified sound is transmitted from the hearing aid through a clear plastic tube to an earmold, which is custom-made to fit your child's ear, to look and feel just right.  The sound is directed into the child's ear canal. BTE hearing aids are most often recommended for children because this style is exceptionally sturdy, and is not limited by the size of the child’s ear

Cerumen
Waxy secretion of the glands in the external auditory canal; COL: ear wax

CIC
A CIC is the smallest hearing aid style available.  CIC stands for Completely In the Canal. This style of hearing aid is suitable for mild to moderate - sometimes even severe - hearing losses, and is custom-made to fit deep inside the ear canal.  Most children do not have large enough ear canals to use this style of instrument.

Cochlea
The cochlea is the inner ear.  It resembles the circular shell of a snail and houses a system of tubes filled with a watery liquid as well as tiny hair cells.  When the hair cells move because of incoming sound vibrations, the sound is transformed into electrical signals that can be interpreted by the brain.

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Conductive hearing loss

A conductive hearing loss is due to a problem in the outer or middle ear which makes it difficult for the sound to reach the inner ear.  It can be both temporary and long-term.  The most common causes of a conductive hearing loss can be a build-up of wax in the ear canal, a perforated eardrum, fluid in the middle ear (which is common in children) or damage to the middle ear bones (the ossicles).

Custom-made
This means that an impression is taken of the patient’s ear to ensure that the earmold (or ITE hearing aid) fits exactly to the child’s ear canal to avoid feedback or irritation.

Deaf
Webster's New World Dictionary College Edition defines deaf as totally or partially unable to hear.  It generally refers to people who usually have little or no useful residual hearing and who employ sign language as their primary mode of communication. Deaf people may also use speech reading, hearing aids, and other assistive technology to aid communication. People who are deaf can be categorized into two groups: congenitally deaf (those who were born deaf) and adventitiously deaf (those who were born with hearing but whose sense of hearing became nonfunctional later in life).

Digital sound processing
Digital sound processing means that the sound is represented and processed mathematically.  Sound is encoded as a series of numbers that measure its pitch and volume at a given instant in time.  Processing the sound bit by bit is very precise, and certain details can be changed without affecting the general picture.  The precise control in digital sound processing can result in the application of more sophisticated amplification techniques.

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Directional hearing

The ability to determine the direction of a sound

Directional Microphone
A microphone system (usually 2 mics) that has a focused sensitivity pattern and a null or non-sensitive region

Ear canal
The part of the ear through which sound is transmitted to the middle ear.

Eardrum
When sound waves enter the outer ear they travel through the ear canal.  At the end of the ear canal the sound waves reach a cone-shaped membrane -the eardrum.  When the sound hits the eardrum it vibrates - just like a real drum.

Earmold
An earmold is used when you wear a BTE hearing aid. The amplified sound from the hearing aid is sent via tubing to the earmold, which is inserted into the ear canal.  The ear mould is made of a soft or hard plastic material molded to the precise shape of the ear.

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Eustachian tube

This tube connects the middle ear cavity to the nose and throat and its purpose is to keep the middle ear space at normal atmospheric pressure.  Eustachian tube dysfunction is a common cause of middle ear disorders such as fluid in the ear.

Feedback
Feedback is the loud, unpleasant, high-pitched whistling which can sometimes be heard from the hearing aids. It occurs when the amplified sound re-enters the hearing aid and is re-amplified.

FM listening systems
FM listening systems work by picking up the sound of a speaker’s voice through a microphone and transmitting it as a radio signal directly to the person wearing the hearing aid. FM systems work very well when there is a lot of noise present or distance between the speaker and the listener, situations which typically make speech understanding very difficult for a hearing-impaired person.

Hard of Hearing
The term used to describe a degree of hearing loss ranging from mild to profound for which a person usually receives some benefit from amplification.  Most people who are hard of hearing are oralists (communicate by using their voice), although a small number learn sign language.  Usually they participate in society by using their residual hearing with hearing aids, speech reading, and assistive devices to facilitate communication.

Hammer, anvil and stirrup
These three bones which are also called the ossicles are the tiniest bones in the human body.  The medical names for these bones are malleus, incus and stapes.  When sound waves make the eardrum vibrate these vibrations are continued by the movement of the ossicles. The innermost of the bones (the stirrup) moves and creates motion in the fluid of the cochlea.

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Hearing Aid

An instrument that amplifies sound to assist persons with hearing loss.  They are distinguished by where they are worn: in the ear (ITE), in the canal (ITC), completely in the canal (CIC), behind the ear (BTE), or on the body.

Hearing instrument
A electronic device designed to amplify and deliver sound to the ear, consisting at least of a microphone, amplifier, and receiver; adjustable for individual hearing loss

Hearing Loss
The difference between the level of sound that can just be heard by an individual with impaired hearing and a standard level that has been determined by averaging measurements from a group of young hearing people.  It is usually expressed in decibels.

Inner ear
That part of the ear, particularly the cochlea, that converts mechanical vibrations (sound) into neural messages that are sent to the brain.

ITE
ITE or "In-The-Ear" hearing aids are custom-made to fit the individual user's ear. As the word explains, ITE hearing aids are worn inside the ear and are usually recommended for mild to moderate, or sometimes even severe, hearing losses. ITE hearing aids come in several sizes, but they are not usually recommended for young children, because their outer ears and ear canals are too small, and are still growing. If they are suitable for the degree of your child's hearing loss, he or she can typically wear them from about the age of 8-10 onwards.

Loudspeaker
The loudspeaker is also called the receiver. It receives the amplified electrical signal and changes it into an acoustical signal that the user of the hearing aid can hear

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Medical Clearance

A required recommendation stating a physicianís approval for the purchase of hearing aids, implying that there are no medical contraindications for hearing aid use.

Microphone
The microphone leads the sounds into the amplifier to be processed. It changes acoustical energy into electrical energy, which is then processed within the hearing aid.

Middle Ear
That part of the ear that conducts sound to the inner ear, consisting of the eardrum (tympanic membrane), middle ear bones (ossicle), and the cavity containing them.

Mild to profound
Generally, the degree of hearing loss is described using one of five categories:

  • Mild (average from 25-40 dB HL)
  • Moderate (average from 40-55 dB HL)
  • Moderate/Severe (average from 55-70 dB HL)
  • Severe (average from 70-90 HL)
  • Profound (average greater than 90 dB HL)
The hearing loss is defined based on what a hearing impaired person can and cannot hear.  You can refer to the following audiogram where A = Hearing level in decibels (dB) and B = Frequency in hertz (Hz)

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Noise

Any sound that interferes with the signal we want to hear.

Noise control
Any system that aims to reduce the noise level compared to the signal level.

Occlusion
The sensation from having a hearing aid or earmold in your ear, making it feel blocked up or like your voice is in a barrel is referred to as ‘occlusion-effect’.  To get an idea of what occlusion is try to put a finger into each ear while talking or eating.

Ototoxins
Medications or drugs that can damage hearing.

Pinna
Portion of the outer ear protruding from the head; also called the auricle .

Programmable hearing aid
A digitally programmable hearing aid is programmed via computer or a handheld programming device.  The sound picture in the hearing aid is set to match the characteristics of the hearing loss.

Residual hearing
The hearing remaining in a hearing impaired person ability.

Tympanic membrane
Another name for the eardrum

Vent
In the earmold/shell, a small opening or tunnel runs from the faceplate (the side of the earmold facing out of the ear) to the tip side of the earmold.  This opening is called a vent.  It can have a number of functions; it ventilates and prevents moisture building up in the ear canal; the opening allows some sounds to be heard naturally through the ear canal without being processed by the hearing aid; and it can make the wearer's own voice sound better.

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Wax

Colloquial term for cerumen, or the waxy secretion of the ceruminous glands in the external auditory meatus.

   
   

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