OTC Hearing Aids vs. Bone Anchored Hearing Aids (BAHA): Which is Right for Me?

Written by the Nano Hearing Aids Team
Reviewed for Accuracy by Lindsay Roberts, AuD.

Lindsay Roberts
OTC Hearing Aids vs. Bone Anchored Hearing Aids (BAHA): Which is Right for Me?

Key Takeaways

  • OTC hearing aids amplify sound through the middle ear, while Bone Anchored Hearing Aids (BAHA) use bone conduction to send sound directly to the inner ear.
  • OTC hearing aids are non-surgical, whereas BAHA requires a surgical procedure to implant a titanium device.
  • BAHA is particularly effective for individuals with conductive hearing loss or single-sided deafness, whereas OTC hearing aids are suitable for perceived mild to moderate hearing loss.
  • Both devices offer customization and advanced features, but BAHA generally provides a more natural sound quality for those with specific hearing conditions.
  • Nano OTC hearing aids, including the First Ear Pro CIC and Audacity RIC, provide non-surgical, customizable solutions with features like rechargeable batteries, feedback cancellation, and nearly invisible designs.

NANO Hearing Aids are FDA-registered, Class I devices. Our OTC hearing aids are designed for individuals over 18 years of age with perceived mild to moderate hearing impairment. With prices starting at just $297, they offer a viable solution for those looking to improve their hearing without breaking the bank.

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What are Hearing Aid and Bone Anchored Hearing Aid (BAHA)

Overview of OTC Hearing Aids

OTC Hearing aids are small electronic devices that amplify sound, designed for individuals with perceived mild to moderate hearing loss. They are typically worn in or behind the ear and amplify sound through the middle ear. 

They come in various styles: behind-the-ear (BTE), in-the-ear (ITE), and completely-in-the-canal (CIC). OTC hearing aids are widely accessible and do not require surgery. 

Many modern OTC hearing aids offer features like Bluetooth connectivity, noise reduction, and customizable settings.

Overview of BAHA

BAHA are surgically implanted devices that use bone conduction to send sound waves directly to the inner ear, bypassing the middle ear. They are effective for people with conductive hearing loss, single-sided deafness, or conditions that prevent traditional hearing aids from working effectively. 

BAHA consists of three main components: a titanium implant, an external connector, and a sound processor. The titanium implant is surgically placed into the bone behind the ear. The external connector attaches to the implant, allowing the sound processor to be connected and disconnected as needed. 

BAHA requires surgical placement - making it more invasive than traditional hearing aids - but offers significant benefits for those who are good candidates.

Types of OTC Hearing Aids 

  • Behind-the-Ear (BTE): Worn behind the ear—suitable for a wide range of hearing loss.
  • In-the-Ear (ITE): Fit completely inside the outer ear—less visible than BTE models.
  • Completely-in-the-Canal (CIC): Smallest and least visible—fits entirely within the ear canal.

Types of BAHA

  • Abutment System: Small titanium implant with an external abutment connecting to the sound processor.
  • Magnetic System: Uses a magnetic connection between the implant and the sound processor - less obtrusive look.

First Ear Plus ITE: Stylish earbud design with touch controls and up to 38 hours of listening time.

Pros & Cons of OTC Hearing Aids and BAHAs

Pros of OTC Hearing Aids

  • Non-Invasive: Hearing aids are non-surgical and easily accessible.
  • Customizable: Various styles and features available to meet individual needs and preferences.
  • Advanced Technology: Can be equipped with noise reduction, Bluetooth connectivity, and rechargeable batteries.
  • Affordability: Over-the-counter hearing aids, like Nano Hearing Aids, are often more affordable than surgical options.

Cons of OTC Hearing Aids

  • Limited Effectiveness: May not be suitable for severe or specific types of hearing loss.
  • Maintenance: Regular cleaning and battery replacements are required.
  • Visibility: Some people may feel self-conscious about visible hearing aids - smaller, less noticeable models are available.

Pros of BAHAs

  • Effective for Specific Conditions: Highly effective for conductive hearing loss, single-sided deafness, or conditions where traditional hearing aids fall short.
  • Natural Sound Quality: Bypassing the middle ear provides a more natural and clear sound.
  • Stable Fit: Surgically implanted titanium device ensures a stable and secure fit, reducing the risk of moving or falling out.

Cons of BAHAs

  • Surgical Procedure: Requires a surgical procedure to implant the titanium device - carries inherent risks.
  • Cost: Surgery and the device can be more expensive than traditional hearing aids.
  • Recovery Time: Surgical procedure requires a recovery period - the implant must heal before the sound processor can be attached.

Comparison of OTC Hearing Aids and BAHAs

Feature

Hearing Aids

BAHA

Accessibility

Over-the-counter, non-surgical

Surgical procedure required

Effectiveness

Suitable for perceived mild to moderate hearing loss

Effective for conductive hearing loss, single-sided deafness

Sound Quality

Amplifies sound through middle ear

Natural sound through bone conduction

Cost

Generally more affordable

Higher due to surgery and device

Maintenance

Regular cleaning and battery replacement

Less frequent maintenance but surgical follow-up required

Benefits of Hearing Aid and BAHA

Improvement in Hearing Quality

  • OTC Hearing Aids: Amplify sound, making it louder and easier to hear. Beneficial for perceived mild to moderate hearing loss.
  • BAHA: Provides more natural sound quality by bypassing the middle ear and sending sound directly to the inner ear through bone conduction, effective for conductive hearing loss or single-sided deafness.

Cost and Affordability

Hearing Aids: Traditional hearing aids, especially over-the-counter options like Nano Hearing Aids, are more affordable, costing anywhere up to $3,000 per device, depending on features and technology.

BAHA: More expensive due to the required surgical procedure; total cost ranges from $10,000 to $15,000, including the device and surgery.

First Ear Pro CIC: Compact and nearly invisible with customizable ear-tips and powerful feedback cancellation.

How Nano Hearing Aids Can Help

At Nano, we have been providing high-quality hearing solutions for over 7 years. 

Our OTC hearing aids offer specific advantages, making them an excellent choice for various types of hearing loss. As FDA-registered, Class I medical devices, Nano hearing aids are non-surgical and available over-the-counter. With features like noise reduction, Bluetooth connectivity, and customizable settings, our OTC hearing aids meet your specific needs. 

One of our popular models, the First Ear Pro CIC, starting from $397, features three listening programs, simple push-button control, powerful feedback cancellation, rechargeable batteries with up to 26 hours per charge, and a nearly invisible design. 

Another model, the Audacity RIC, starting from $697, includes full control with the Nano Audacity App, Bluetooth connectivity, a portable charging case, three listening programs, and powerful noise management. Choosing Nano OTC hearing aids means you get advanced technology, convenience, and affordability to enhance your hearing and improve your quality of life.

Frequently Asked Questions (FAQ)

What conditions can be treated with BAHA?

BAHA devices are effective for individuals with conductive hearing loss, single-sided deafness, or conditions where traditional hearing aids may not be effective. These bypass the middle ear and send sound directly to the inner ear through bone conduction, providing a more natural sound quality for those with specific hearing conditions.

How long is the recovery time for BAHA surgery?

Recovery time for BAHA surgery varies depending on the individual and type of implant used. It generally takes about 3 to 6 weeks for the implant site to heal fully. Follow your surgeon's instructions and attend follow-up appointments to ensure proper healing and integration of the implant.

Are there any risks associated with BAHA?

As with any surgical procedure, there are risks associated with BAHA implantation. Potential complications include infection, skin irritation, and issues with osseointegration (bone fusing to the titanium implant). These risks are low, and the procedure is generally safe and effective for suitable candidates.

How do I know if a hearing aid is right for me?

Determining if a hearing aid is right for you involves assessing your hearing needs and lifestyle. If you have perceived mild to moderate hearing loss and prefer a non-surgical solution, a traditional hearing aid may be the best option. 

Over-the-counter hearing aids like Nano Hearing Aids offer advanced features and customization to meet your needs without a prescription or surgical intervention. 

Consult an audiologist or hearing specialist to evaluate your hearing loss and discuss the best options. They can help determine if a hearing aid or BAHA is right for you based on your needs and preferences.

Why Should I Choose Nano Hearing Aids?

Nano OTC Hearing Aids offer a non-surgical, cost-effective solution compared to BAHA. Our FDA-registered, Class I hearing aids are safe and effective; they are equipped with advanced features like noise reduction, Bluetooth connectivity, and customizable settings.

They are available over-the-counter, making them accessible and affordable. Choosing Nano means opting for a reliable, easy-to-use hearing solution that enhances your quality of life without the complexities and risks associated with surgical procedures - but once again, it all depends on your actual hearing needs, as severe hearing loss will require other solutions than OTC hearing aids.

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