: Congenital hearing loss occurs in about 2 of every 1000 newborns, of which half probably have a genetic origin. In syndromic patients, hearing impairment often results from craniofacial malformations affecting the outer and middle ear....

This small case series suggests Bonebridge implantation is feasible in patients with rare genetic syndromes and complex anatomy, but the evidence is too limited to change standard selection criteria; case-by-case surgical planning remains essential.

Demonstrates that bone-anchored hearing implants can be a viable option even in anatomically challenging patients with rare syndromes, potentially expanding candidacy criteria with appropriate surgical expertise.

1. 0110 patients with rare genetic syndromes and difficult craniofacial anatomy underwent Bonebridge bone-anchored hearing implantation.
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