Objective: The aim of this study was to illustrate and discuss management o
f 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 ass
ociated Veterans Administration Hospital.
Patients: Postlingually deafened adults who had revision surgery for delaye
d cochlear implant infections were included in this study.
Intervention: Medical and surgical management of device infection without e
xplantation.
Main Outcome Measures: Eradication of infection without loss of speech rece
ption.
Results: All four patients were successfully managed without explantation.
Conclusions: Explantation of an infected but functioning multichannel impla
nt is not mandatory in the absence of systemic sepsis.