Complications after cochlear implantation are problematic for both device users and surgeons. Device extrusion immediately after the surgery or as a delayed manner is one of the most serious complications which have been managed with explantationand re-implantation for many years. Here, we report two cases of cochlear implant device extrusion successful treated with advance local flap. One of the patients(62-year old women) who had the irradiated wound showed the postoperative infection and eventual extrusion of the internal device. Second patient (59-year-old woman) demonstrated the delayed device extrusion. Both cases were surgically managed with the advanced local flap and there was no recurrence of the extrusion of the device. From the aspects of the economics as well as the clinical situationsof the cochlear implantee, these types of reconstructive surgical methods for the extruded cochlear implant should be considered to optimize the functional results of the cochlear implantee.