How I Do It
Occipital artery based myocutaneous flap repair for cochlear implant extrusion- How I do it
Authors:
S. P. P. Kumara ,
National Hospital, Kandy, LK
About S. P. P.
Acting consultant in Otorhinolaryngology
K. D. N. U. D. Jayasena,
General Hospital Ampara, LK
About K. D. N. U. D.
Acting consultant in Otorhinolaryngology
R. P. T. Rajapaksha,
National Hospital, Kandy, LK
About R. P. T.
Medical Doctor in ENT
H. M. S. B. Ethulgama
National Hospital, Kandy, LK
About H. M. S. B.
Consultant ENT surgeon
Abstract
Introduction: Cochlear implant extrusion is a challenging complication to manage. It needs meticulous planning, antibiotic cover and a good vascularized tissue covering. Occipital artery based myocutaneous flap is used to cover tissue defects in neurosurgery and oncosurgery practice and the results are widely accepted. In ENT practice we can safely utilize this versatile and reliable flap to achieve good tissue cover over an extruded cochlear implant.
Objective: To improve confidence and share experience to achieve better outcomes when dealing with complications after cochlear implantation.
Method: Occipital artery based flap is used to cover the tissue defects as an axial flap over the exposed implant after antibiotic cover, with the Consultant microbiologist’s guidance to overcome biofilm resistance and a through wound debridement.
Results: Good healing achieved with a thick scalp skin cover.
Conclusion: In ENT practice we can safely utilize this versatile and reliable flap to achieve good tissue cover over an extruded cochlear implant.
How to Cite:
Kumara, S.P.P., Jayasena, K.D.N.U.D., Rajapaksha, R.P.T. and Ethulgama, H.M.S.B., 2023. Occipital artery based myocutaneous flap repair for cochlear implant extrusion- How I do it. Ceylon Journal of Otolaryngology, 12(1), pp.49–52. DOI: http://doi.org/10.4038/cjo.v12i1.5344
Published on
15 Mar 2023.
Peer Reviewed
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