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Updated: Aug 11, 2026

Design and Optimization Strategies of a High-Performance Vented Box
Published on: June 9, 2023
Real-world performance of a reverse-horn vent
Francis Kuk1, Denise Keenan, Chi-Chuen Lau
1Widex Office of Research in Clinical Amplification, Widex Hearing Aid Company, Lisle, IL 60532, USA. Fkuk@widexmail.com
A novel reverse horn vent in completely-in-the-canal hearing aids reduced the occlusion effect compared to standard vents. This design may enhance custom hearing aid performance by increasing effective vent diameter.
Area of Science:
- Audiology
- Hearing Aid Technology
- Acoustics
Background:
- Completely-in-the-canal (CIC) hearing aids offer cosmetic advantages but can cause occlusion.
- Vent design significantly impacts CIC hearing aid acoustics and user experience.
- Conventional CIC vents may not adequately address occlusion or provide optimal acoustic performance.
Purpose of the Study:
- To compare the subjective and objective performance of CIC hearing aids with a novel reverse horn vent versus conventional uniform vents.
- To evaluate the impact of vent design on occlusion effect, feedback, and speech intelligibility.
Main Methods:
- Nine participants with high-frequency hearing loss were fitted with CIC hearing aids.
- Testing included unaided thresholds, feedback gain, speech in quiet and noise (HINT), occlusion effect measures, and real-ear aided response.
- Two vent types were compared: a uniform 1.5 mm parallel vent and a reverse horn vent (1.5 mm to 3 mm diameter).
Main Results:
- The reverse horn vent demonstrated less available gain before feedback compared to the uniform vent.
- Subjective and objective measures indicated a reduced occlusion effect with the reverse horn vent.
- Real-ear aided response and speech intelligibility measures were also assessed.
Conclusions:
- The reverse horn vent design in CIC hearing aids effectively reduces the occlusion effect.
- This vent configuration may be beneficial for increasing the effective vent diameter in custom hearing aids.
- Further research could explore the broader application of reverse horn vents in various custom hearing aid styles.
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