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


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.


CONCLUSIONS
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.
Department of Plastic and Reconstructive Surgery,St Vincent's Hospital,Sydney, New South Wales,Australia.
M
M
Geraghty
Department of Otology, Skull Base Surgery,St Vincent's Hospital,Sydney, New South Wales,Australia.
P
P
Fagan
Department of Plastic and Reconstructive Surgery,St Vincent's Hospital,Sydney, New South Wales,Australia.
E
E
Moisidis
D000368:Aged; D000369:Aged, 80 and over; D019929:Cochlear Implantation / Q000009:adverse effects; D003054:Cochlear Implants / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis / Q000209:etiology; D011475:Prosthesis Failure; D012086:Reoperation / Q000379:methods; D012867:Skin / Q000473:pathology; D013524:Surgical Flaps / Q000473:pathology*