Hostname: page-component-6766d58669-bp2c4 Total loading time: 0 Render date: 2026-05-19T11:57:14.475Z Has data issue: false hasContentIssue false
  • English
  • Français

Management of cochlear implant device extrusion: case series and literature review

Published online by Cambridge University Press:  24 January 2014

M Geraghty ,
P Fagan  and
E Moisidis
M Geraghty*
Affiliation:
Department of Plastic and Reconstructive Surgery, St Vincent's Hospital, Sydney, New South Wales, Australia
P Fagan
Affiliation:
Department of Otology, Skull Base Surgery, St Vincent's Hospital, Sydney, New South Wales, Australia
E Moisidis
Affiliation:
Department of Plastic and Reconstructive Surgery, St Vincent's Hospital, Sydney, New South Wales, Australia
*
Address for correspondence: Mr Micheal Geraghty, Department of Plastic and Reconstructive Surgery, St Vincent's Hospital, Darlinghurst, Sydney, NSW 2010, Australia Fax: +61 2 8382 6792 E-mail: michealx1@yahoo.co.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction and aims:

Cochlear implants have enabled an improved quality of life for many patients with deafness. Implant extrusion and skin flap necrosis are the most common complications associated with implant use. We report our management of patients presenting with complications as a result of cochlear implant insertion. The goal of surgery was to achieve a stable, healed wound for use as a cochlear device implantation site.

Methods and results:

We describe a series of patients presenting with skin flap necrosis and/or extrusion of their cochlear implant. The reconstructive options employed are discussed.

Conclusion:

Surgeons should be aware of the reconstructive options available in such circumstances, and should choose appropriate management depending on the clinical situation, in order to optimise the functional result for the patient.

Keywords

Cochlear Implants

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue S2 , July 2014 , pp. S55 - S58
Copyright
Copyright © JLO (1984) Limited 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

1Cunningham, D 3rd, Slattery, WH 3rd, Luxford, WM. Postoperatory infection in cochlear implant patients. Otolaryngol Head Neck Surg 2004;131:109–14Google Scholar
2Rubienstein, JT, Gantz, BJ, Parkinson, WS. Management of cochlear implant infections. Am J Otol 1999;20:46–9Google Scholar
3Hopfenspirger, MT, Levine, SC, Rimell, FL. Infectious complications in pediatric cochlear implants. Laryngoscope 2007;117:1825–9CrossRefGoogle ScholarPubMed
4Cohen, H, Hoffman, R. Complications of cochlear implant surgery in adults and children. Ann Otol Rhinol Laryngol 1991;100:708–11Google Scholar
5Kempf, H, Johann, K, Lenarz, T. Complications in pediatric cochlear implant surgery. Eur Arch Otorhinolaryngol 1999;256:128–32Google Scholar
6Hoffman, RA, Cohen, NL. Complications of cochlear implant sugery. Ann Otol Rhinol Laryngol Suppl 1995;166:420–2Google Scholar
7Cohen, NL, Hoffman, RA, Stroschein, M. Medical or surgical complications related to the Nucleus multichannel cochlear implant. Ann Otol Rhinol Laryngol 1988;135:8–13CrossRefGoogle ScholarPubMed
8Webb, RL, Lehnhardt, E, Clark, GM, Laszig, R, Pyman, BC, Franz, BK. Surgical complications with the cochlear multichannel intracochlear implant: experience at Hannover and Melbourne. Ann Otol Rhinol Laryngol 1991;100:131–6Google Scholar
9Kumar, A, Mugge, R, Lipner, M. Surgical complications of cochlear implantation: a report of three cases and their clinical features. ENT 1999;78:913–19Google ScholarPubMed
10Gysin, C, Papsin, B, Daya, H, Nedzelski, J. Surgical outcomes after paediatric cochlear implantation: diminution of complications with the evolution of new surgical techniques. J Otolaryngol 2000;29:285–9Google ScholarPubMed
11Balkany, T. The surgeon's notebook: cochlear implant incisons. In: Communique. Englewood, Colorado: Cochlear Corporation, 1988;4Google Scholar
12Luxford, WM, House, WF. House 3M cochlear implant: surgical considerations. Ann Otol Rhinol Laryngol Suppl 1987;96:12–14Google Scholar
13Schweitzer, VG, Burtka, MJ. Cochlear implant flap necrosis: adjunct hyperbaric oxygen therapy for prevention of explantation. Am J Otol 1991;12:71–5Google Scholar
14Letz, J. Resection of the head of the condyle with interposition of a temporalis flap between the surfaces of resection. Guerison Assoc Franc de Chirur (Paris) 1895;9:113–17Google Scholar
15Rambo, J. Musculoplasty: a new operation for suppurative middle ear deafness. Trans Am Acad Ophthalmol 1958;62:166–9Google Scholar
16Ishida, K, Shinkawa, A, Sakai, M, Tamura, Y, Naito, A. Cause and repair of flap necrosis over cochlear implant. Am J Otol 1997;18:472–4Google ScholarPubMed
17Beckenstein, M, Steenerson, R, Elliott, F, Hartrampf, C. Use of a superficial temporal fascia flap for coverage of an exposed cochlear implant. Otolaryngol Head Neck Surg 1999;120:940–2Google Scholar
18Stuzin, J, Wagstrom, L, Kawamoto, H. Anatomy of the frontal branch of the facial nerve: the significance of the superficial temporal fat pad. Plast Reconstr Surg 1989;83:265–71Google Scholar
19Tolhurst, D, Carstens, M, Greco, R, Hurwitz, D. The surgical anatomy of the scalp. Plast Reconstr Surg 1991;87:603–12Google Scholar
20Neumann, C. The expansion of an area of skin by progressive distension of a subcutaneous balloon. Plast Reconstr Surg 1957;19:124–30Google Scholar
21Radovan, C. Breast reconstruction after mastectomy using the temporary expander. Plast Reconstr Surg 1982;69:195–206Google Scholar
22Leedy, J, Janis, J, Rohrich, R. Reconstruction of acquired scalp defects: an algorithmic approach. Plast Reconstr Surg 2005;116:54–72eGoogle Scholar
23Haberkamp, T, Schwaber, M. Management of flap necrosis in cochlear implantation. Ann Otol Rhinol Laryngol 1992;101:38–41Google Scholar
24Antonelli, P, Lee, J, Burne, R. Bacterial biofilms may contribute to persistent cochear implant infections. Otol Neurotol 2004;25:953–7CrossRefGoogle Scholar
25Basavaraj, S, Najaraj, S, Shanks, M, Wardrop, P, Allen, AA. Short-term versus long-term antibiotic prophylaxis in cochlear implant surgery. Otol Neurotol 2004;25:720–2Google Scholar
26Vlastarakos, P, Nikodopoulos, T, Maragaudakis, P, Tzagaroulakis, A, Ferekidis, E. Biofilms in ear, nose and throat infections: how important are they? Laryngoscope 2007;117:668–73CrossRefGoogle Scholar