“…Mass loading of the ossicular chain may lead to residual hearing loss, the extent of which is directly related to the weight of the middle-ear implant and its location within the middle ear 16 , 17 . Finally, in addition to the above, implantation-related issues, some types of middle-ear implant may require restriction of the use of magnetic resonance imaging, electroconvulsive therapy or radiotherapy to the head 13 …”