Abstract
The primary purpose of this study was to compare the overall listening benefit in
diffuse noise provided by dual-microphone technology in an in-the-ear (ITE) hearing
instrument to that provided by dual-microphone technology in a behind-the-ear (BTE)
hearing instrument. Further, the study was designed to determine whether the use of
the dual-microphone + the manufacturer's party response algorithm in the ITE and BTE
hearing instruments provided listening benefit in diffuse noise over their respective
omnidirectional microphone modes. Twenty-four adults with mild to moderately severe
sensorineural hearing loss were evaluated while wearing binaural BTE and ITE hearing
instruments. The results indicated that the dual-microphone + party response mode
did provide significant benefit in diffuse noise for both the ITE (3.27 dB signal-to-noise
ratio [SNR] improvement) and BTE (5.77 dB SNR improvement) hearing instruments relative
to their respective conventional omnidirectional microphones. No significant difference
in performance was found between the ITE and BTE hearing instruments when each device
was in the dual-microphone + party response mode. It is concluded that the use of
dual-microphone technology in both ITE and BTE hearing instruments can improve speech
recognition in diffuse noise.
Abbreviations: BTE = behind the ear, DI = Directivity Index, DSL [i/o] = desired sensation level
input/output, HINT = Hearing in Noise Test, ITE = in the ear, KEMAR = Knowles electronic
manikin for acoustic research, REAR = real-ear aided response, RECD = real-ear-to-coupler
difference, RESR = real-ear saturation response, RTS = reception threshold for sentences,
SC + a.R.T = super compression plus adaptive recovery time, SNR = signal-to-noise
ratio
Key Words
Directional microphone - dual microphone - hearing instruments - omnidirectional microphone
- signal-to-noise ratio - speech recognition