Hair Barrette Induced Cochlear Implant Receiver Stimulator Site Infection with Extrusion

Background. Cochlear implant infections and extrusion are uncommon but potentially devastating complications. Recent literature suggests conservative management can be employed. Local measures inclusive of aggressive surgical debridement with vascularized flaps and parenteral antibiotics represent a...

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Main Authors: Trung N. Le, Jordan Hochman, Darren Leitao
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2015/510741
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author Trung N. Le
Jordan Hochman
Darren Leitao
author_facet Trung N. Le
Jordan Hochman
Darren Leitao
author_sort Trung N. Le
collection DOAJ
description Background. Cochlear implant infections and extrusion are uncommon but potentially devastating complications. Recent literature suggests conservative management can be employed. Local measures inclusive of aggressive surgical debridement with vascularized flaps and parenteral antibiotics represent a viable option and often permit device salvage. However, explantation should be considered if there is evidence of systemic, intracranial, or intractable infection. Method. A Case report and literature review. Case Report. This case illustrates a complicated local wound infection associated with cochlear implantation due to transcutaneous adherence of a ferrous hair barrette to a cochlear implant magnet. Reconstruction of computed tomography (CT) data with 3D volume rendering significantly improved the value of the images and facilitated patient counseling as well as operative planning. Conclusion. Cochlear implant infections can be associated with foreign bodies. CT images are beneficial in the evaluation of cochlear implant complications. 3D CT images provide a comprehensive view of the site of interest, displaying the relationship of the hardware to the skull and soft tissues, while minimizing associated artifacts. Cochlear implant patients should consider use of nonmetallic hair devices.
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spelling doaj-art-d0877deee7d843b58e2d5ff130d8d4832025-02-03T05:58:33ZengWileyCase Reports in Otolaryngology2090-67652090-67732015-01-01201510.1155/2015/510741510741Hair Barrette Induced Cochlear Implant Receiver Stimulator Site Infection with ExtrusionTrung N. Le0Jordan Hochman1Darren Leitao2Department of Otolaryngology Head and Neck Surgery, University of Manitoba, Health Sciences Centre, GB421-820 Sherbrook Street, Winnipeg, MB, R3E 0V9, CanadaDepartment of Otolaryngology Head and Neck Surgery, University of Manitoba, Health Sciences Centre, GB421-820 Sherbrook Street, Winnipeg, MB, R3E 0V9, CanadaDepartment of Otolaryngology Head and Neck Surgery, University of Manitoba, Health Sciences Centre, GB421-820 Sherbrook Street, Winnipeg, MB, R3E 0V9, CanadaBackground. Cochlear implant infections and extrusion are uncommon but potentially devastating complications. Recent literature suggests conservative management can be employed. Local measures inclusive of aggressive surgical debridement with vascularized flaps and parenteral antibiotics represent a viable option and often permit device salvage. However, explantation should be considered if there is evidence of systemic, intracranial, or intractable infection. Method. A Case report and literature review. Case Report. This case illustrates a complicated local wound infection associated with cochlear implantation due to transcutaneous adherence of a ferrous hair barrette to a cochlear implant magnet. Reconstruction of computed tomography (CT) data with 3D volume rendering significantly improved the value of the images and facilitated patient counseling as well as operative planning. Conclusion. Cochlear implant infections can be associated with foreign bodies. CT images are beneficial in the evaluation of cochlear implant complications. 3D CT images provide a comprehensive view of the site of interest, displaying the relationship of the hardware to the skull and soft tissues, while minimizing associated artifacts. Cochlear implant patients should consider use of nonmetallic hair devices.http://dx.doi.org/10.1155/2015/510741
spellingShingle Trung N. Le
Jordan Hochman
Darren Leitao
Hair Barrette Induced Cochlear Implant Receiver Stimulator Site Infection with Extrusion
Case Reports in Otolaryngology
title Hair Barrette Induced Cochlear Implant Receiver Stimulator Site Infection with Extrusion
title_full Hair Barrette Induced Cochlear Implant Receiver Stimulator Site Infection with Extrusion
title_fullStr Hair Barrette Induced Cochlear Implant Receiver Stimulator Site Infection with Extrusion
title_full_unstemmed Hair Barrette Induced Cochlear Implant Receiver Stimulator Site Infection with Extrusion
title_short Hair Barrette Induced Cochlear Implant Receiver Stimulator Site Infection with Extrusion
title_sort hair barrette induced cochlear implant receiver stimulator site infection with extrusion
url http://dx.doi.org/10.1155/2015/510741
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AT darrenleitao hairbarretteinducedcochlearimplantreceiverstimulatorsiteinfectionwithextrusion