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Objective This study assessed the safety and sound-localisation ability of the Vibrant Soundbridge (VS (Med-EL, Innsbruck, Austria) in patients with unilateral microtia and atresia (MA). Methods This was a single-centre retrospective research study. Twelve subjects with unilateral conductive hearing loss (UCHL) caused by ipsilateral MA were recruited, each of whom underwent VSB implantation and auricular reconstruction. The bone-conduction (BC) threshold was measured postoperatively, and the accuracy of sound localisation was evaluate