Speech-reception threshold in noise with one and two hearing aids.

The binaural free-field speech-reception threshold (SRT) in 70-dBA noise was measured with conversational sentences for 24 hearing-impaired subjects without hearing aids, with a hearing aid left, right, and left plus right, respectively. The sentences were always presented in front of the listener and the interfering noise, with a spectrum equal to the long-term average spectrum of the sentences, was presented either frontally, from the right, or from the left side. For subjects with only moderate hearing loss, PTA (average air-conduction hearing level at 500, 1000, and 2000 Hz) less than 50 dB, the SRT in 70-dBA noise in both ears is determined by the signal-to-noise ratio even if only one hearing aid is used. For larger hearing losses the SRT appears to be partly determined by the absolute threshold. In conditions with a high noise level relative to the absolute threshold, in which case for both ears the SRT is determined by the signal-to-noise ratio, a second hearing aid, just as a monaural hearing aid, generally does not improve the SRT. However, in the case of a high hearing level, or a low noise level, in which a monaural hearing aid is profitable, the use of two hearing aids is even more profitable. In a separate experiment, acoustic head shadow was measured at the entrance of the ear canal and at the microphone location of a hearing aid. It appeared that, for a lateral noise source and speech frontal, the microphone position of behind-the-ear hearing aids has a negative effect on the signal-to-noise ratio of 2-3 dB.