26/05/2026
Today on 26 May 2026, I am so thankful and also proud to share the good news that ENT UKM achieved another milestone where the First Paediatric Cochlear™ Osia® Implant at Hospital Tunku Ampuan Besar Tuanku Aishah Rohani (TABTAR), Universiti Kebangsaan Malaysia was successfully performed.
In Malaysia, the Cochlear™ Osia® System was introduced in February last year in 2025 , and to date, only a small number of adult patients have undergone implantation of this device. The surgery today on a 6-year-7-month-old boy mark a significant milestone, not only being the first paediatric implantation of the Cochlear™ Osia® System in Malaysia but also the youngest child that underwent this surgery in Southeast Asia. This child has bilateral microtia and canal atresia causing bilateral conductive hearing loss.
Microtia and congenital aural atresia are uncommon but important congenital malformations of the external ear and ear canal, often occurring together and requiring early audiological assessment to prevent speech and language delays. These conditions affect approximately 1 in 7000 to 10,000 births, occur more often unilaterally, and are more common in males and Asian populations. Their causes are multifactorial, with about 15% showing familial patterns, and may be linked to genetic syndromes such as Goldenhar, Treacher Collins, and CHARGE.
Early identification of hearing loss allows timely intervention, supporting normal speech and language development. Children who receive appropriate hearing technology early can achieve communication outcomes comparable to their hearing peers. While well‑fitted air‑conduction hearing aids provide excellent results for many, they are unsuitable for children with anatomical abnormalities, active middle‑ear disease etc . In such cases, bone‑conduction hearing devices such as OSIA offer an effective and reliable alternative. FDA approved for the used of OSIA implant in children 5 years and older in 2024.
Thank you to my ENT team in hospital TABTAR and Faculty of Medicine, UKM, unit anaesthesiology (Prof Rufinah and team), unit audiology and speech and support form nursing staffs and others that helped directly and indirectly that made the surgery a success!