The child, Huang, male, born on December 25, 2005, was seen at the hospital hearing center clinic on August 10, 2012. Basic findings: The imaging examination was: bilateral absence of auditory tuberosities with atresia of the external auditory canal (see photo for auricular malformation), no abnormalities in the cochlear structures; the audiological findings are shown in the figure. The patient had previously been seen at two other hospitals, and the doctors recommended a vibrating acoustic bridge or a bone-anchored hearing aid (BAHA) as well as a softband bone-conduction hearing aid or, if conditions did not permit, a bone-conduction hearing aid. The above is also the conventional treatment within the profession, as the use of hearing aids in people with external atresia can produce problems such as whistling, which is considered to be unsuitable for routine fitting. However, the following factors should be considered: 1. The cost of vibrating acoustic bridge or bone anchored hearing aid (BAHA) is more than 100,000 yuan, and it is more difficult for parents to accept because of the need to perform surgery and its unpleasant appearance. 2. Conventional hearing aids are usually considered to be more effective for speech recognition than other methods, and other methods (such as vibrating sound bridge or bone anchored hearing aids) are chosen only when conventional hearing aids are not available or ineffective. Although it is usually believed that such children cannot be fitted with conventional hearing aids, considering the fact that the child has a relatively intact auricular cavity, a proven method of fitting for such children was developed based on years of experience (the patient or the child’s family was extremely satisfied with the method as it was economical and effective), and the child was eventually fitted with a conventional hearing aid (air-conduction hearing aid). The parents were satisfied with the final outcome of this patient. Therefore, the best solution for this case was to be able to use conventional hearing aids.