For a given kind of dome, how would a fitter choose the size – S/M/L or, for some brands, diameter in millimeters? Over the years I’ve not encountered any kind of measuring tool. Is it just an estimate based on an otoscope view of the canal? Or is it trial-and-error based on what’s comfortable for the user?
Is the ideal size one in which the circumference of the dome just touches the ear canal, or is it a bit smaller, or is it a bit larger in which there is a circular “flap” that lies against the circumference of the canal? Maybe another way to put the question is how much venting should there be, if any, between the edge of the dome and the canal?