Conclusion
The following factors can positively influence the reduced incidence of
biofilm formation.
1. Strict asepsis,
2. Respecting the flap
3. Avoid using tie over (a better alternative is a snugly fitting
periosteal pocket), treating hematomas at the earliest, giving adequate
attention and proper treatment to otitis media with or without
discharge.
Counselling regarding infection needs to happen as parents tend to take
local treatment first which unknowingly leads to a delay before turning
up at the cochlear implant centre. Polyhexanide and betaine surfactants
are easily available and can be used against biofilms. However, we need
more studies on biofilm management to make proper guidelines.
Conflicts of Interest: The authors have no conflicts of
interest to declare.
Funds: This research did not receive any specific grant from
any funding agencies in the public, commercial, or not for profit
sectors
Acknowledgements: None
Data availability : data is available for review on request from
the authors due to privacy/institutional ethical restrictions.
Ethical approval : The study was approved by the Institutional
Ethics Committee