MONO procedure

The world’s first one-step drilling procedure

Create a complete osteotomy in just one single step. This groundbreaking new procedure offers bone anchored hearing system (BAHS) patients excellent aesthetic outcomes and fast recovery times.1,2

Watch Dr. Thibaud Dumon talk about the MONO procedure

       Otorhinolaryngologist. Clinique du Docteur Jean Causse, Colombiers

MONO procedure step-by-step

Watch how to use the new MONO drill.

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Your local Oticon Medical representative is ready to demonstrate the MONO procedure for you.

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Improve your clinical efficiency

  • Simplified treatment
    Reduce the number of instruments and implant components needed in the procedure. With the tailor-made MONO Surgery Kit, your staff will find it easy to prepare for and handle implant installation.
  • Reduce time and expenses
    Clinics that already use the minimally invasive MIPS technique have reported reduced surgical time, staffing and running costs3.

Discover how Ponto improves clinical efficiency.

Like its predecessor MIPS, the MONO procedure is a minimally invasive technique that eliminates the need for suturing by using a smaller incision. This means you can perform Ponto implant installation as an outpatient procedure under local anesthetic for fast recovery and fewer complications. Free up your valuable OR resources, increase flexibility and give more patients access to life-changing Ponto treatment.


  • 98% of all users report an increased quality of life after Ponto surgery4

  • In 95% of follow-up visits no skin-related after-care treatment is required4

  • 98% implant survival rate with the Ponto implants4


1. Caspers CJI, et al. A clinical evaluation of minimally invasive Ponto surgery with a modified drill system for inserting bone anchored hearing implants. Accepted in Otol Neurotol 2020.
2. Holmes S, et al. Tissue preservation techniques for bone anchored hearing aid surgery. Otol Neurotol. 2021; Publish Ahead of Print.
3. Sardiwalla Y, et al. Direct cost comparison of minimally invasive punch technique versus traditional approaches for percutaneous bone anchored hearing devices. J. Otolaryngol Head Neck Surg. 2017;46(1):46.
4. Lagerkvist H, et al. Ten years’ experience with the Ponto bone anchored hearing system – a systematic literature review. Clin Otolaryngol 2020 Sep; 45(5): 667–680.

Not all hearing loss patients are candidates for a bone anchored solution. All surgical procedures include an element of risk and it is impossible to guarantee success.
Outcomes may vary. Testimonials represent the opinion of the concerned individuals only and may not be the experience of others. Not all products are available in all markets.
Product availability and indications are subject to regulatory approval in respective markets.