One of the greatest challenges in hearing conservation is providing adequate protection for those listeners who spend most of their time in quiet environments, but are occasionally exposed to high levels of noise that occur at unpredictable times. A classic example of this problem occurs for dismounted soldiers, who rely heavily on their natural hearing acuity to detect threats and opportunities on the battlefield but always face the risk of becoming engaged in a dangerously noisy firefight with little or no warning. One emerging technology that might have application in this domain is the extended-wear hearing aid, which is capable of remaining deep in the ear canal for weeks or months before being removed. Preliminary results suggest that the extended wear earplug can provide protection from blast or continuous noise that is comparable to a conventional earplug or muff, and that it can provide detection and localization performance comparable to that achieved with the open ear. Its form factor also makes it more likely to be compatible with headsets, radios, and personal protective equipment than traditional earplug or earmuff devices. The potential benefits and limitations of the extended-wear earplug as a hearing protector will be discussed. [Work supported by MRMC Grant W81XWH-14-1-0254; The opinions and assertions presented are the private views of the authors and are not to be construed as official or as necessarily reflecting the views of the Department of Defense.]
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