An Approach to Managing Recurrent Cochlear Implant Wound Infection and Skin Breakdown.

Indian J Otolaryngol Head Neck Surg

Department of Otolaryngology - Head and Neck Surgery, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.

Published: October 2024

AI Article Synopsis

  • - A cochlear implant patient experienced repeated infections that led to the device being pushed out, requiring it to be removed and replaced two times.
  • - To address these issues, a special technique involving a washout with vancomycin (an antibiotic) was used along with a flap surgery to help secure the implant.
  • - This innovative surgical approach aimed to preserve the cochlear implant and prevent further complications related to infections and device extrusion.

Article Abstract

We report the case of a cochlear implant patient who developed multiple infections with device extrusion necessitating explanation and reimplantation twice. An approach using a vancomycin washout followed by a temporalis muscle rotation and scalp rotation flap was utilized to salvage the device.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456039PMC
http://dx.doi.org/10.1007/s12070-024-04798-2DOI Listing

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