The temporoparietal fascia flap for coverage of cochlear reimplantation following extrusion.
The management of cochlear implant extrusion (CIE) can be challenging, particularly in the pediatric population in whom reconstructive options are limited. We describe the use of the temporoparietal fascia flap (TPFF) for this purpose due to its ease of use and limited morbidity. We present a case series of two pediatric patients who underwent explantation of their devices, followed by reimplantation with TPFF coverage. Our experience provides evidence that the TPFF can be used to prevent further CIE through a postauricular incision following cochlear reimplantation with successful long-term results.
Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St. Louis, MO, USA. Electronic address: kkarimne@slu.edu.
Kaveh
K
Karimnejad
Saint Louis University School of Medicine, St. Louis, MO, USA. Electronic address: akhtera@slu.edu.
Asad Shahab
AS
Akhter
Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St. Louis, MO, USA. Electronic address: swalen@slu.edu.
Scott Gregory
SG
Walen
Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St. Louis, MO, USA. Electronic address: mikuleca@slu.edu.
Anthony Alan
AA
Mikulec
D002648:Child; D002675:Child, Preschool; D003051:Cochlea; D019929:Cochlear Implantation / Q000379:methods*; D003054:Cochlear Implants; D003638:Deafness / Q000534:rehabilitation*; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D013524:Surgical Flaps
Cochlear implant; Extrusion; Pediatric otolaryngology; Sensorineural hearing loss; Temporoparietal fascia flap; Wound dehiscence