Transmeatal Section of the Array in Cochlear Implant Explantation and Reimplantation: How I Do It

BACKGROUND: Cochlear implant explantation and reimplantation (ERI) are rarely required, but the widespread use of implants has made it a procedure that every otologic surgical center must address. Although generally described as safe, ERI presents specific surgical challenges, particularly concerning the replacement of the array. METHODS: The transmeatal section of the array as the initial step of cochlear implant ERI is proposed and described. RESULTS: A brief case series did not report any specific complications. CONCLUSION: The transmeatal section of the array allows for the early and safe removal of the cable portion within the mastoid, enabling the surgeon to address scar tissue and new bone formation without the hindrance of the cable and preventing the premature removal of the array in the cochlea.