In The Ear (ITE) Full Shell Hearing Aids.

What is an In the Ear (ITE) Hearing Aid?

In the ear hearing aids (ITE) are a great choice of aid for people wanting the most advanced technology within their aid who are limited by dexterity, eyesight or visual impairment. They are sometimes referred to as “full shell” hearing aids and sit within the bowl of the ear, similar to the earmould of the traditional behind the ear style, but with all the components sitting within the ear rather than behind it. Studies show that people are more likely to wear their devices if they are unnoticeable to others, hence the development of smaller and smaller hearing aids. With this device there is a portion of the hearing aid that sits within the ear canal and another small part that shows in bowl of the outer ear.

Because this aid sits within the ear itself, the telephone can be used in the natural way, although as there is a part sitting in the bowl of the ear, some users report they take care not to let the phone touch the aid to avoid possible feedback sound.

Wearers with dexterity issues can sometimes find smaller models like IIC, CIC or ITC too small to handle. Similarly, some wearers struggle to correctly place the hearing aid on top of the ear with BTE devices. Therefore, this style is a good alternative, and this model is often recommended for those looking for something different or smaller than the behind the ear models but also wanting ease of use and insertion, due to its larger size.

Are full shell devices compatible with Bluetooth and rechargeable technologies?

Yes. Most ITE models are large enough to fit these components within the hearing aids. Find out more about Bluetooth hearing aids.  Custom rechargeable hearing aids are currently only being offered by one manufacturers Starkey.

Full Shell (ITE) models Vs in the canal (ITC) models

Some differences between the two custom made models:

  • ITE style may take a larger battery
  • ITE often easier to insert as larger and therefore more to hold on to
  • ITE sometimes offer higher power level
  • ITE good option for extra retention in the ear for none-standard ear shapes/sizes

Are they suitable with severe hearing loss?

Due to their size, there is a greater seal on the ear canal to allow for less feedback than smaller models and therefore your aid can reach higher levels than the IIC or CIC styles. This makes them a good option for those with severe losses looking for discretion or ease of use.

(ITE) Pros & Cons


  • Custom made and comfortable
  • Natural use with the telephone
  • Suitable for severe losses
  • Full technology functionality in (most cases) in comparison to small custom styles
  • Rechargeable and Bluetooth options
  • May be good option for those with dexterity issues due to larger size
  • Battery insertion easier as larger battery than some smaller custom models


  • Largest custom style – more discreet models available
  • May be more susceptible to moisture/ear wax in comparison to BTE styles
  • Can cause occlusion with some hearing losses -echo sound when speaking/eating
  • Can be susceptible to wind noise as not located completely within the ear canal

Full Shell Hearing Aid Batteries and Accessories

This style also required replacement ear wax filters which help to prevent wax from damaging the internal component that sit within the aid. Although one manufacturer offers a rechargeable option, most ITE models will require 13 batteries, however the battery life is the standard 7-14 days as opposed to 2-5 in smaller devices.

Don’t worry, we will explain all necessary running costs, how often items will need replacement, what comes as standard or the replacement cost. At Integrate Hearing we make sure you are up to speed with everything you need to know so there will be no hidden costs!

ITE – are these custom in the ear devices available on the NHS?

Most NHS providers still currently only offer BTE style hearing aids. These can come in both the more traditional style with a custom-made ear mold or for milder losses you will be offered an open fit BTE with a slim tube. More recently some NHS providers have started to offer Receiver in canal (RIC) style aids, although it is only some. For more discreet models such as custom in the ear styles you may need to see a private audiologist. At Integrate Hearing we offer all styles of hearing aids from all UK leading manufacturers. Find out more about our other discreet hearing aid styles.

Our Top Picks of 2021 best in-the-ear models

  1. Phonak Virto
  2. Widex Moment
  3. Starkey Livia Edge

Are In-the- canal RICs right for you? How much do they cost?

At Integrate hearing we offer invisible in the ear hearing aids from all manufacturers, including rechargeable  and Bluetooth models at all price points. To find out more about our 4 ranges of aids click here  or contact us on 01978799387  to discuss our products and book a hearing aid assessment for a 14-day free trial.

Our Range of Hearing Aids

Find out more about the products we offer below.

Invisible in the Canal (IIC)

Extremely discreet. This is the smallest type of hearing aid, fitting deep within the ear canal making it almost invisible when worn. Suitable for mild to moderate hearing loss.

Completely in the Canal (CIC)

The CIC is the second smallest hearing aid which fits completely in the ear canal and dependent on the size and shape of your ear canal is also very discreet. Suitable for mild to moderate hearing loss).

Receiver in the Canal (RIC)

The most common style of hearing aid. Very comfortable, extremely discreet yet powerful. Virtually invisible this type of hearing aid sits neatly behind the ear. This device fits a wide range of hearing loss, designed to provide natural sound quality.

In the Canal (ITC)

Bespoke and discreet, slightly larger for increased ease of handling, power and battery life. This type of hearing aid sits in the outer portion of the ear canal and is smaller than the ITE style. It can fit a wide range of hearing loss.

In the Ear (ITE)

Fits comfortably in the outer ear. Great for people with dexterity issues. This hearing aid fits comfortably inside the bowl of the ear. Due to its size, it’s great for people with dexterity problems or needing more power. It fits a wide range of hearing loss.

Behind the Ear (BTE)

A more traditional style, fitting comfortably behind the ear and attaching to a custom-made ear mould. With this type of hearing aid, all of the components sit within a casing behind the ear. Suitable for people with mild to profound hearing loss.


Bluetooth functionality in your hearing aids enables to you to connect and listen to a whole host of devices such as your phone, mobile, TV and tablet. Connectivity comes in multiple forms but the overall consensus is that the technology offers great advantages for audio sound quality for hearing aid wearers.

Rechargeable Hearing Aids

Rechargeable hearing aids have stormed the market since their release and for good reason. They are great option for those looking for more convenience and to reduce their hearing aid maintenance, particularly where limited dexterity or the frequency of battery changing is a concern.

Our Services

We offer all aspects of hearing care in Wrexham. Whether it be wax removal, hearing protection, music devices, hearing tests or tinnitus rehabilitation, we can help. Please click on one of the following services for more information.

Hearing Tests

Hearing Assessments

Ear Wax Removal

Tinnitus Management

Contact Us

For more information about our services or even for just a general chat regarding your hearing health, please do get in touch.

Private Hearing Aids

Hear well and stay integrated with a choice of the latest hearing aids from the best manufacturer’s brands like Phonak, Unitron, Widex, Signia, Starkey or Oticon. Our honest, unbiased and comprehensive advice helps you understand your best hearing aid features and styles. We offer a 14-day FREE trial, moneyback guarantee and fully inclusive aftercare package on all our devices to prove our dedication to your satisfaction.

Hearing Aids

Invisible, rechargeable or Bluetooth, find the best digital hearing aid technology to suit you.

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Take your recommended pair home and try before you buy.

I was lucky enough to have a same day appointment, easy parking close by, the service is A*, everything was explained and after a consultation my hearing was restored with no issues, I was so pleased with the service, I would certainly recommend Intergrate Hearing.

Keith Markham

Olivia was kind and considerate of my father’s condition. She took the time to explain everything to him and was gentle when performing both the procedure and the hearing test. I could not recommend her enough. Thank you.

Maria Alexandra Rodrigues

My wife visited Olivia after suffering for three weeks with very severe hearing loss and pain. what a difference 20 minutes make. She had the biggest smile I’ve seen on her face for about a month. Excellent service and she’s now pain free and we can put the TV volume back to normal levels.

Shan Ryder

My ear problems started just when Lockdown was announced It meant weeks and weeks of waiting plus cancellations. I found Olivia on the web and am so glad I did. she is friendly and extremely professional. I left with hearing restored in my left ear. Fantastic! Really recommend her.

Peter Read