Fig. 1.

Cochlear implant extrusion and coverage surgery with a temporoparietal fascia flap. a Design of the skin incisions around the superficial temporal artery. b Zoom of the defect and scar of the previous rotation flap (arrow), c, d, e design of the thin TPFF and elevation with preservation of the vascular pedicle (arrow). f Insetting of the TPFF over the cochlear implant to prevent extrusion. g Skin closure and vacuum drain in place. h Three months post-operative result with external device in place and cochlear implant fully functional