Behind-the-Ear (BTE) Hearing Aids

Behind-the-Ear (BTE) hearing aids are one of the longest-standing and most recognisable styles of hearing aids. As the name suggests, the main body of the device sits comfortably behind the ear, housing all the electronic components—including the microphones, amplifier, and speaker (receiver).

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Unlike RIC (Receiver-in-Canal) hearing aids, which place the speaker inside the ear canal, BTEs deliver sound through a hollow plastic tube. This tube runs over the top of the ear and directs sound into the ear canal via either a custom ear mould or a small plastic dome.

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BTE vs. RIC: What’s the Difference?

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While both BTEs and RICs are worn behind the ear, the key distinction is where the speaker is located:

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• BTE hearing aids: All components—including the speaker—are housed in the unit behind the ear. Sound travels through a tube into the ear.

• RIC hearing aids: The speaker sits inside the ear canal and is connected to the behind-the-ear unit by a thin wire. 

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Because of this, BTE units are usually slightly larger than RIC units. While this may affect cosmetic appeal for some, it allows BTEs to offer greater amplification—making them especially suitable for those with severe to profound hearing loss.

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Tube and Earpiece Options

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The plastic tubing used with BTE hearing aids can be attached to two different types of earpieces:

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​Custom Ear Moulds

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These are shaped specifically for your ear, providing a secure, sealed fit. Moulds are commonly recommended for:

• Higher levels of hearing loss

• Improved retention in the ear

• Reducing sound leakage and feedback

• Managing moisture and debris in the ear canal

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Domes

A small, soft, pre-sized earpiece, similar to those used with RIC devices. Domes are typically used for milder hearing losses or where a more open-fit is desirable. They are paired with thinner tubing and offer a less occlusive feel in the ear.

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Who Might Benefit from a BTE Hearing Aid?

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BTEs are widely used in NHS audiology services due to their durability, adaptability, and cost-effectiveness. They are also frequently prescribed for:

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• Children: Their modular design allows for easy re-tubing and ear mould replacement as the child grows.

• Patients with severe to profound hearing loss: BTEs often offer more power and larger batteries to support higher amplification needs.

• Those with chronic ear infections or excess ear canal moisture: Since no components sit inside the canal, BTEs can be more hygienic and moisture-resistant than ITE or RIC styles.

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While BTE hearing aids may not always offer the same cosmetic appeal or direct sound quality as a RIC (due to the tube-based sound delivery), they remain an excellent, reliable solution for many hearing losses—particularly where performance and durability are prioritised.

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Book Your Consultation

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At Finchley Hearing, we’ll assess your hearing needs and ear anatomy to determine if a BTE hearing aid is the right choice for you. Whether you're switching from NHS hearing aids or considering private options for the first time, we’re here to provide ethical, expert guidance tailored to you.

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