皮瓣坏死是耳蜗装置植入中最常见的并发症,可通过应用局部健康皮瓣或将装置取出植入对侧耳后的方法来处理,但都不甚理想,该文介绍二例患者由于皮瓣坏死而致装置暴露的处理,一例是将装置取出,移植于耳廓上方带筋膜的皮瓣之下,另一例是将装置向前、上方转位90°,使之处于耳廓上健康皮肤之下,取得良好效果。由于坏死多发生于蒂部向前的C形皮瓣,Cohen等建议采用蒂部向下的U形皮瓣。该文所介绍的技术可用于以上二种皮瓣,但需 Flap necrosis is the most common complication of cochlear device implantation, which can be treated by applying a local healthy flap or by removing the device after implantation into the contralateral ear. However, none of them is ideal, One of the cases is the removal of the device and its transplanting under the flap with fascia above the auricle. The other case is to turn the device forward and upward by 90 ° so that it is located on the auricle Under the skin, achieved good results. Since necrosis occurs more frequently in the pedicle forward C-shaped flap, Cohen et al. Suggest pedicle-shaped U-shaped flaps. The technique described in this article can be used on both flaps, but needs