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Management of cochlear implant infections.

OBJECTIVE: The aim of this study was to illustrate and discuss management of cochlear implant infections.

STUDY DESIGN: The study design was a retrospective case review.

SETTING: This study was performed at a tertiary referral center with an associated Veterans Administration Hospital.

PATIENTS: Postlingually deafened adults who had revision surgery for delayed cochlear implant infections were included in this study.

INTERVENTION: Medical and surgical management of device infection without explantation.

MAIN OUTCOME MEASURES: Eradication of infection without loss of speech reception.

RESULTS: All four patients were successfully managed without explantation.

CONCLUSIONS: Explantation of an infected but functioning multichannel implant is not mandatory in the absence of systemic sepsis.

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