Last Updated on August 4, 2025 by Jonathan Javid Au.D.
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Wearing Hearing Aids with a Nasal Cannula: Tips to Avoid Issues
Many individuals who require supplemental oxygen via a nasal cannula also wear hearing aids. Unfortunately, these two devices often don’t play nicely together. Two common problems arise: the hearing aid gets knocked off when removing the cannula, and users may hear a constant “hissing” noise from the oxygen tubing. In this article, we’ll cover practical solutions and hearing aid recommendations for patients managing both needs.
Nasal Cannula Pulling Off Hearing Aid
When a nasal cannula causes your hearing aid to fall off, the risk of losing the device increases—especially for behind-the-ear (BTE) and receiver-in-canal (RIC) models. Because these aids are small and lightweight, users may not realize the device has fallen off until it’s too late. If it occurs outside of the hearing aid’s warranty period, you may need to replace the device entirely, which could be costly.
How to Prevent Your Hearing Aid from Being Pulled Out by Oxygen Tubing
One effective strategy is changing the style of your hearing aid. Most users wear RIC hearing aids, which are popular due to their comfort and versatility. However, these devices often use open domes that can easily slip out of the ear.
Switching to a custom earmold can improve retention significantly. Ask your audiologist about skeleton molds, canal molds, or full-shell designs depending on your comfort and hearing needs. Nearly all RIC and BTE devices can be adapted with a custom mold, and the cost typically ranges from $100–$200 including programming adjustments.
Still experiencing slippage? Consider switching to a completely-in-the-canal (CIC) or in-the-ear (ITE) hearing aid. These styles eliminate the need for tubing over the ear and free up “real estate” behind your ear, which becomes even more valuable if you also wear eyeglasses.
Managing Limited “Real Estate” Behind Your Ear
If you’re wearing glasses, a nasal cannula, and a hearing aid, it’s important to assess whether your ears have enough space for all three. If your ears sit close to your head, you may struggle to keep all devices comfortably and securely in place. In such cases, opting for an in-the-ear hearing aid may offer the best long-term comfort and usability.
Budget-Friendly Alternative: Oto-Clips
If a new hearing aid isn’t currently feasible, consider using an oto-clip. This device tethers your hearing aid to your shirt collar or glasses. While it won’t prevent the hearing aid from falling off, it will prevent it from being lost. For additional retention tips, visit our guide on hearing aids falling off.
Hearing the Hissing Sound from Oxygen Tubes
The second issue users report is hearing a “hissing” or airflow noise from the nasal cannula. This sound is real—people with normal hearing can hear it from across the room. Hearing aids, which amplify sound and are worn close to the tubing, will make the noise more noticeable.
To mitigate this, ask your audiologist to adjust the noise reduction settings in your hearing aids. These features are typically set to default levels at fitting, but can be made more aggressive to reduce constant background noise. While this may not eliminate the hissing entirely, it can reduce the distraction.
Final Thoughts
Managing hearing aids while wearing a nasal cannula can be a challenge, but the solutions range from inexpensive accessories to complete style changes. Speak with your audiologist to determine which option aligns best with your hearing needs, oxygen requirements, and lifestyle.
For more help optimizing your hearing aid experience, explore these helpful articles: