Technological advances and functional and cosmetic improvements in con
ventional hearing aids notwithstanding, there are still individuals fo
r whom alternative amplification schemes are desirable, Patients gener
ally fitted with bone-conduction hearing aids, eg, those with irrepara
ble aural atresia, unremitting otorrhea, earmold allergy, or conductiv
e losses not amenable to surgery, have difficulty with the pressure, p
oor fidelity, and unattractive appearance of these devices. Patients c
apable of wearing conventional air-conduction hearing aids contend wit
h sound distortion, feedback, canal occlusion, tight earmolds, and poo
r cosmetic appearance.(1) A number of implantable hearing devices are
in varying stages of development in an effort to overcome some of the
limitations associated with conventional hearing aids.