By Lisa Vaughan and George Cire This article is a part of the March/April 2022, Volume 34, Number 2, Audiology Today issue. Alternatives to traditional air-conduction amplification may be required when managing patients with conductive and mixed conductive hearing loss, which may involve active disease process or anatomical barriers to the conduction of amplified sound through the outer and middle ear. Bone-conduction amplification is an alternative method to apply amplified sound in these cases. TABLE 1 summarizes the wide array of approaches and manufacturers that are involved in this important treatment option for individuals with conductive, mixed-conductive, and single-sided deafness. MANUFACTURER DESCRIPTION Cochlear Baha Family Non-Surgical Softband, SoundArc/passive transcutaneous Cochlear Baha Family Surgical Baha Connect/passive percutaneousBaha Attract/passive transcutaneous Cochlear Osia Surgical Active osseointegrated implant/active transcutaneous MED-EL Adhear Non-Surgical Softband, adhesive snap/passive transcutaneous Oticon Ponto Family Non-Surgical Softband, headband/passive transcutaneous Oticon Ponto Family Surgical Passive percutaneous MED-EL Bonebridge Active osseointegrated implant/active transcutaneous TABLE 1. Summary of Bone-Conduction Treatment Options Traditional Bone-Conduction Amplification The traditional, non-surgical approach to bone-conduction amplification involved the use of a vibrating actuator held in place on the head of the patient with a spring steel headband borrowed from bone-conduction oscillators used for diagnostic audiometric measurements. Even with these trade-offs, the bone-anchored approach to bone-conduction amplification gained traction and offered significant improvement over the steel headband, both in comfort and audiological benefit. The traditional method of retention is uncomfortable and unsightly for many patients, given the need for long-term wear. However, these systems did provide substantial improvements in hearing thresholds and speech recognition. This content is an exclusive benefit for American Academy of Audiology members. If you're a member, log in and you'll get immediate access. Member Login If you're not yet a member, you'll be interested to know that joining not only gives you access to top-notch resources like this one, but also invitations to member-only events, inclusion in the member directory, participation in professional forums, and access to patient resources, tools, and continuing education. Join today!