Key points:
- We describe a novel procedure using betaine surfactant and
polyhexanide for biofilm in cochlear implants.
- Early intervention along with wound debridement, double layer
vascularized flap and rifampicin helps in salvaging the implant.
- Leaving the array in cochlea avoids fibrosis and can be considered for
cochlear implantation at a later stage.
- This novel procedure significantly limits morbidity and repeated
surgeries.
Key words: Cochlear Implants, Biofilm, Polyhexanide.
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