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

 

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

Read More About This Article Click on Below Link:
https://lupinepublishers.com/otolaryngology-journal/fulltext/use-of-temporoparietal-flap-and-split-skin-grafting-of-donor-area-to-salvage-cochlear-implant.ID.000241.php

Read More about Lupine Publishers Google Scholar Articles:
https://scholar.google.com/citations?view_op=view_citation&hl=en&user=dMOUw-wAAAAJ&cstart=20&pagesize=80&citation_for_view=dMOUw-wAAAAJ:NtGNdKbuCngC