The most common complaint about hearing aids is that
they don't perform well in background noise. Now, at the end of
the century, hearing aids are providing significant help in noisy
places such as restaurants and meetings, and there is promise of
even more benefits in the near future.
The digital revolution
created major breakthroughs in hearing aid technology, leading
to the introduction of digital hearing aids. Newspaper, radio
and television news accounts generated tremendous interest in
these new hearing aids, which used miniaturized micro-processors
to digitize and process incoming acoustic signals.
Another, equally
important advance has received less media attention, perhaps because
it is not as familiar as the concept of "digital." However, advances
in microphone technology, especially when coupled with the capabilities
of digital processing, are already providing impressive results
for people with hearing loss.
Directional
Microphones
Directional microphones have been available for years, but have
been improved significantly due to recent advances in technology.
Audiologic research
has consistently demonstrated the benefits of directional amplification.
In recent years, however, there has been more interest in miniaturization
and directional microphones have not been commonly used.
The most challenging
listening situations facing people with hearing loss is understanding
clearly in noise (e.g. restaurants, parties). In situations where
interfering background noise is present, much benefit can be obtained
by using directional microphones.
An ordinary (or
omni directional) microphone picks up sound from the front, sides
and back of the listener equally. A directional microphone focuses
on amplifying the sound source directly in front of the listener,
while reducing sounds from the side and back. This translates
into better understanding of speech in noisy situations.
Laboratory studies
have measured improved signal-to-noise ratios in the 4 to 8 dB
range, significantly better than the 2 to 4 dB improvement for
earlier directional microphones. Clinical measurements have yielded
scores for word recognition in noise that are 10 to 20% better
than with conventional omni-directional microphones. Not surprisingly,
studies have not indicated any multi-microphone advantage in quiet
situations.
Multi-microphone
technology is already providing important benefits for hearing
aid users, but these instruments are not suitable for everyone.
In addition to the added expense, many hearing aid users may not
want to use a directional switch (although this can be eliminated),
or may want the smallest instrument possible. Still, a number
of researchers believe this technology holds the greatest promise
for improved hearing and that in the near future many people with
hearing loss will be able to hear as well in noise as their friends
with normal hearing.

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