Salvaging Cochlear Implant After Suspected Biofilm Infection: Our Experience.

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.