The bone anchored hearing aid (BAHA) has mainly been used for the trea
tment of hearing loss in patients with congenital conductive problems
or chronic suppurative otitis media. In a five-year period, 32 otoscle
rotic patients have been referred to the Queen Elizabeth Hospital for
consideration of a BAHA. Ten of these patients have been fitted and ga
ined benefit compared to their previous hearing aid. The benefits are
not necessarily those in hearing ability but in some cases relate to c
osmetic or comfort improvements. This paper demonstrates that the BAHA
offers a third treatment option for otosclerosis in patients who cann
ot or will not undergo stapedectomy and experience difficulty with con
ventional hearing aids.