Use of Temporoparietal Flap and Split Skin Grafting of Donor Area to Salvage Cochlear Implant – Novel Experience from A Tertiary Hospital in India Volume 6 - Issue 4

Anand R¹*, Shyam Kalyan N², Jaisy J Vikkath³ and Aruchamy M⁴

• ¹Senior Consultant, Department of Cochlear Implant Surgery, PSG Super Specialty Hospital, India
• ²Associate Consultant, Department of ENT, PSG Super Specialty Hospital, India
• ³Senior Resident, Department of ENT, PSG Super Specialty Hospital, India
• ⁴Senior Consultant, Department of Plastic Surgery, PSG Super Specialty Hospital, India

Received: May 04, 2021   Published: May 18, 2021

Corresponding author: Anand R, Senior Consultant, Department of Cochlear Implant Surgery, PSG Super Specialty Hospital, India

DOI: 10.32474/SJO.2021.06.000241

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Abstract

The management of cochlear implant exposure can be very challenging especially in the pediatric population where reconstructive options are limited. Various techniques comprising conservative and surgical methods have been used to prevent explanation with variable success rates. We describe the use of the temporoparietal fascial flap (TPFF) for this purpose due to its wide coverage and tension-free closure. We present the case of a child who had implant exposure 3 months after the surgery. He was managed conservatively initially. When this failed restoring of the wound was done. However, this also was not successful. Then we tried coverage with TPFF and split-thickness skin grafting of the TPFF donor site which succeeded. Our experience provides evidence that TPFF can be used for the coverage of post aural wound in cases of implant exposure and when combined with a splitthickness skin graft (STSG) of the donor site, it can further increase the success rates. The STSG of the donor site ensures a tensionfree closure in comparison with primary closure which would put further pressure on the TPFF.

Keywords:TPFF: Temporoparietal Fascial Flap; STSG: Split-Thickness Skin Graft

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