Cochlear implantation (CI), in the past more than 30 years, has become a routine intervention and its a standard of care for children with profound sensorineural hearing loss. The presence of a functional cochlear nerve is a key issue in pediatric CI. There are cases where implant candidacy decisions are difficult to make using existing evaluation procedures and among these cases are children with cochlear nerve deficiency (CND). The aim of this presentation is to highlight the importance of a comprehensive audiological, electrophysiological and radiological preoperative assessment in making a decision for cochlear implantation in prelingually deaf children.

There continue to be significant shifts in the landscape of bone conduction implants over recent years. This instructional session aims to provide ENT surgeons audiologists and other allied health professionals with a structured framework to confidently counsel and select appropriate implantable hearing solutions for patients with conductive and mixed hearing loss, as well as single-sided deafness.

I will critically review current bone conduction options—including percutaneous and transcutaneous systems (BAHA, Ponto, OSIA, Bonebridge, Sentio)—and also touch on the weigh up between these and active middle ear implants. Drawing on experience from a high-volume UK auditory implant centre, I will share clinical outcomes, complication rates, and evolving patient preferences demonstrated over the last 4 years.

Topics will include candidacy criteria, surgical techniques (including minimally invasive approaches), device-specific pros and cons, emerging trends and how to more clearly understand what patients care particularly about.

To discuss indications, application methods and long-term results of semi-implantable middle ear implants