Effect of instant ear domes on real-ear gain

Abstract Purpose As instant ear domes are the most commonly used fittings for RIC hearing aids and are available in standard sizes and shapes which may include vents, this study was designed to assess the acoustics of these different types of domes by estimating the insertion loss and vent effect of...

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Main Authors: Salma Samy Attia, Hesham Kozou, Doaa Elmoazen
Format: Article
Language:English
Published: SpringerOpen 2025-02-01
Series:The Egyptian Journal of Otolaryngology
Subjects:
Online Access:https://doi.org/10.1186/s43163-025-00767-w
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author Salma Samy Attia
Hesham Kozou
Doaa Elmoazen
author_facet Salma Samy Attia
Hesham Kozou
Doaa Elmoazen
author_sort Salma Samy Attia
collection DOAJ
description Abstract Purpose As instant ear domes are the most commonly used fittings for RIC hearing aids and are available in standard sizes and shapes which may include vents, this study was designed to assess the acoustics of these different types of domes by estimating the insertion loss and vent effect of each using real-ear measurements to make the right fitting choice. Methods The study included 30 normal hearing individuals. REM procedures specifically insertion loss and vent effect measurements were obtained using Affinity 2.0 Interacoustics while using five types of domes: open, tulip, Bass 1 vent, Bass 2 vent, and double dome. The subjective occlusion rating of each dome was assessed as well. Results The instant ear domes are arranged from least occluding (lowest insertion loss, highest vent effect, lowest subjective rating score) to most occluding (highest insertion loss, lowest vent effect, highest subjective rating score) as follows: open dome, tulip dome, and bass group which showed no significant difference between 1 and 2 vents and lastly double dome. Results showed high variability. Conclusions Instant domes with larger vent whether a single large diameter or sum of several diameters vent have lowest insertion loss, highest vent effect and lowest score in subjective occlusion ratings, and vice versa. Individualized real-ear measurement should be considered for best fitting outcome.
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publishDate 2025-02-01
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series The Egyptian Journal of Otolaryngology
spelling doaj-art-5ad24c97c7744875bac02dbb387210c32025-02-09T12:09:00ZengSpringerOpenThe Egyptian Journal of Otolaryngology2090-85392025-02-014111710.1186/s43163-025-00767-wEffect of instant ear domes on real-ear gainSalma Samy Attia0Hesham Kozou1Doaa Elmoazen2Alexandria UniversityAlexandria UniversityAlexandria UniversityAbstract Purpose As instant ear domes are the most commonly used fittings for RIC hearing aids and are available in standard sizes and shapes which may include vents, this study was designed to assess the acoustics of these different types of domes by estimating the insertion loss and vent effect of each using real-ear measurements to make the right fitting choice. Methods The study included 30 normal hearing individuals. REM procedures specifically insertion loss and vent effect measurements were obtained using Affinity 2.0 Interacoustics while using five types of domes: open, tulip, Bass 1 vent, Bass 2 vent, and double dome. The subjective occlusion rating of each dome was assessed as well. Results The instant ear domes are arranged from least occluding (lowest insertion loss, highest vent effect, lowest subjective rating score) to most occluding (highest insertion loss, lowest vent effect, highest subjective rating score) as follows: open dome, tulip dome, and bass group which showed no significant difference between 1 and 2 vents and lastly double dome. Results showed high variability. Conclusions Instant domes with larger vent whether a single large diameter or sum of several diameters vent have lowest insertion loss, highest vent effect and lowest score in subjective occlusion ratings, and vice versa. Individualized real-ear measurement should be considered for best fitting outcome.https://doi.org/10.1186/s43163-025-00767-wInstant ear domesInsertion lossVent effectOcclusion effectRIC
spellingShingle Salma Samy Attia
Hesham Kozou
Doaa Elmoazen
Effect of instant ear domes on real-ear gain
The Egyptian Journal of Otolaryngology
Instant ear domes
Insertion loss
Vent effect
Occlusion effect
RIC
title Effect of instant ear domes on real-ear gain
title_full Effect of instant ear domes on real-ear gain
title_fullStr Effect of instant ear domes on real-ear gain
title_full_unstemmed Effect of instant ear domes on real-ear gain
title_short Effect of instant ear domes on real-ear gain
title_sort effect of instant ear domes on real ear gain
topic Instant ear domes
Insertion loss
Vent effect
Occlusion effect
RIC
url https://doi.org/10.1186/s43163-025-00767-w
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AT heshamkozou effectofinstanteardomesonrealeargain
AT doaaelmoazen effectofinstanteardomesonrealeargain