In Europe and the United States, for those deaf patients who are neither suitable for hearing aids nor for cochlear implants, they can choose the bone-anchored conduction technique to restore their hearing, and more than 60,000 patients have already received this treatment. Recently, the authors of this article have introduced this technology to our country. Some of the deaf patients seen in the clinic are not suitable for hearing aids or cochlear implants. Now this group of patients can solve their hearing problems with a new technology, the implantation of a bone-anchored conduction device. This technology is one of the latest research advances in otology and fills a gap for people with hearing loss that hearing aids and cochlear implants cannot reach, with over 60,000 cases in Europe and the United States, and has become a mainstream treatment option. Baha is a different kind of bone-anchored hearing solution device. It is a titanium implant that is fully integrated with the skull, collects sound through a sound processor, and transmits the sound directly to the inner ear through the titanium implanted in the skull at different frequencies, avoiding distortion and sound energy attenuation. It is better in terms of volume, sound quality, frequency, speech discrimination sensitivity and patient satisfaction, and it is the only technology that allows patients to experience the effects of the implant preoperatively. This technique is suitable for patients who are not suitable for air-conduction hearing aids, such as those with narrow or atretic external ear canals, chronic infections in the outer and middle ear, and unilateral sensorineural hearing loss due to unilateral deafness. The following preoperative diagnostics are performed before Baha use Comprehensive medical history taking; clinical examination and ENT specialist examination; pure tone audiometry, open sound field audiometry with or without hearing aids, audiometry through a rod connected to Baha; imaging diagnosis, especially in smaller children’s cases to find out if the bone thickness is suitable for implantation. Surgical procedure and implant placement Because the patient also has an auricular deformity, it is best to have the surgical design and operation performed by a clinically experienced surgeon who can perform staged reconstruction of the auricle and ear canal and hearing reconstruction. After completing the auricular reconstruction, many patients who are not suitable for ear canal reconstruction and hearing reconstruction, applying this hearing aid is the best choice for hearing rehabilitation. After completion of the auricular reconstruction, Baha hearing aid implantation is performed, positioned 2 to 3 mm lateral to the ear wheel. The postoperative osseointegration takes 3 to 4 months. During this time the graft is not weight bearing and the sound processor is worn on the head through a soft band. Once the titanium nail and the bone are fully fused, the soft band can be removed and a better hearing recovery will be obtained by using Baha directly. Clinical case: Sun, 16 years old, has a severe deformity of the right auricle combined with atresia of the external auditory canal, stenosis of the left auditory canal, poorly developed middle ear, and bilateral severe mixed deafness. Not long ago, Sun received a bone-anchored hearing device, the softband Baha, and was ready to receive a bone-anchored internal part implant. Currently, the patient is able to understand the teacher’s lecture in class and communicate with others without hearing impairment. This is the first deaf patient in China who has recovered his hearing by implanting a bone-anchored conduction device.