Objective To analyze the improvement of auditory and speech recognition in patients with congenital external and middle ear malformation after Bonebridge implantation, and evaluate the subjective auditory benefits of Bonebridge implantation. Methods 9 patients had Bonebridge implantation were retrospectively analyzed. Hearing threshold, speech recognition threshold, and speech recognition rate were recorded before and after the operation. SSQ-P and SIR were used as the test material to assess subjective benefit after Bonebridge implantation. Results The hearing aid threshold, speech recognition threshold, and speech recognition rate of 9 patients were significantly improved after Bonebridge implantation. The hearing aid threshold respectively decreased by31.1±12.7 dB、43.9±21.5 dB、53.3±14.1 dB、45.0±12.2 dB、45.0±15.2 dB、42.2±19.1 dB in the octave frequencies (0.25~8kHz). the average hearing threshold（0.25~8kHz）decreased by 43.4 ±13.0 dB, the average speech recognition threshold decreased by 44.7±4.8 dB, the average monosyllabic speech recognition rate increased by 67.3±8.2 %, the average two-syllable speech recognition rate increased by 68.1±8.4 %, the average sentence speech recognition rate in quiet environment increased by 53.3±13.5 %, and the average sentence speech recognition rate in noisy environment (SNR5) increased by 49.6±11.0 %. The questionnaire results show that the mean of SSQ-P increased by 4.6±0.7 and the mean of SIR increased by 1.4±0.4. Conclusion Some patients with congenital external and middle ear malformation received Bonebridge implantation, which can significantly improve their auditory and speech ability, and can effectively enhance their subjective benefits in terms of speech, space, and hearing.