These devices capture sound and transfer it through bone vibrations directly to the cochlea (the hearing organ in your inner ear). Unlike traditional hearing aids that simply amplify sound, auditory osseointegrated devices ("osseo" meaning "bone") bypass your outer ear and middle ear entirely and create a new pathway for hearing. These devices can be used for one or both ears, and they can be used along with a traditional hearing aid on the opposite ear, if necessary.
Bone Conduction Hearing Aids
Auditory Osseointegrated Devices
You have been seen by a Duke provider for audiology services within the last three years or you need to reschedule an appointment.
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919-684-3859Auditory osseointegrated devices, also known as bone conduction hearing aids, are a great option for people with hearing loss associated with problems in their outer ear or middle ear, or for those with profound hearing loss in one ear. We offer devices that don't require surgery, as well as implanted devices that require minor surgery. Your age, medical history, and type and degree of hearing loss will dictate what kind of auditory osseointegrated device you need.
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Pediatric Head and Neck Surgeon, Pediatric Ear, Nose and Throat Doctor
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How Does a Bone Conduction Device Work?
Who is Eligible?
Typically, candidates have one of the following types of hearing loss:
- Conductive hearing loss (when sound is blocked from traveling from the outer or middle ear to the inner ear)
- One-sided, profound, sensorineural hearing loss (which results from damage to the inner ear or cochlea)
- Mixed hearing loss, meaning it is both conductive and sensorineural
Our Locations
Duke Health offers locations for hearing aid consultation throughout the Triangle. Find one near you.
What to Expect
Evaluation
To determine whether you are a candidate for a bone conduction hearing aid / auditory osseointegrated device, you’ll have a comprehensive evaluation to determine your type and degree of hearing loss. If you qualify, you’ll have another appointment with an audiologist to learn more about the devices and try them on. The audiologist will test your ability to hear sound and understand speech with and without different types of hearing aid devices to determine which ones fit your needs best.
Surgery
Implantation is performed at Duke University Hospital, Davis Ambulatory Surgery Center, or Duke Raleigh Hospital, a campus of Duke University Hospital, as outpatient surgery under general anesthesia. The procedure usually lasts about an hour. Only the internal component will be placed during surgery. You will likely go home the same day.
Device Activation
After surgery, there is a required healing period before your device(s) can be turned on. Following a successful post-operative check-up, you’ll return to your audiologist to receive the external component and activate the device.
Follow-Up
You’ll see your audiologist one month after device activation, and then periodically for adjustments and upgrades to the external processor.
Nationally Ranked Hospital for Ear, Nose and Throat
Where you receive your care matters. Duke University Hospital is proud of our team and the exceptional care they provide. That is why our ear, nose, and throat (ENT) program is nationally ranked among the nation's best, according to U.S. News & World Report for 2025-2026.
Why Choose Duke
More Options for You
Our team at Duke works with a variety of devices across the industry’s three bone conduction hearing aid / auditory osseointegrated device manufacturers, which means all options are available to you.
Comprehensive Testing
Your care team will perform a thorough series of evaluations to determine not only whether you are a candidate, but also which brand and type of device is best-suited for your individual needs -- which is not standard practice everywhere.
Expert Team Approach
Our audiologists and otolaryngologists have years of experience in bone conduction technology. It’s our goal to improve your hearing so you can get back to doing what you enjoy most.
This page was medically reviewed on 09/05/2025 by