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Oropharynx Decontamination Preventing Candida Vegetation on Voice Prostheses

Oropharynx Decontamination Preventing Candida Vegetation on Voice Prostheses Abstract • Candida vegetations found in silicone voice prostheses used in postlaryngectomy voice rehabilitation are associated with prothesis dysfunction. Selective oropharyngeal decontamination with amphotericin B lozenges resulted in sharp decrease of oropharyngeal Candida concentrations with a subsequent reduction of yeast colonization on voice protheses and in tracheoesophageal fistula in ten patients. A case report suggests that this selective oropharyngeal decontamination can prolong the device's lifetime. (Arch Otolaryngol Head Neck Surg 1986;112:1090-1092) References 1. Singer MI, Blom ED, Hamaker RL: Further experience with voice restoration after total laryngectomy . Ann Otol Rhinol Laryngol 1981;90:498-502. 2. Panje WR: Prosthetic vocal rehabilitation following laryngectomy: The voice button . Ann Otol Rhinol Laryngol 1981;90:116-120. 3. Mahieu HF, Annyas AA, Nijdam HF: The Groningen button results, in Proceedings of the International Workshop on Voice Prosthesis, Würzburg, West Germany. New York, SpringerVerlag NY Inc, in press. 4. Manni JJ, van den Broek P, de Groot MAH, et al: Voice rehabilitation after laryngectomy with the Groningen prosthesis . J Otolaryngol 1984;13:333-336. 5. Herrmann IF, Koss W: Die fingerfreie Sprache nach totale Laryngektomie . HNO 1985;33:124-129. 6. Mahieu HF, van Saene HKF, Rosingh HJ, et al: Candida vegetations on silicone voice prostheses . Arch Otolaryngol Head Neck Surg 1985; 112:321-325.Crossref 7. Martin MV, Al-Tikriti U, Bramley PA: Yeast flora of the mouth and skin during and after irradiation for oral and laryngeal cancer . J Med Microbiol 1981;14:457-467.Crossref 8. Pau HW, Straehler-Pohl HJ, Exner M: Untersuchungen zur Sprosspilzflora während Tumor-Bestrahlungen im oberen Aerodigestivtrakt . HNO 1985;33:485-488. 9. Schudel CFS, van Saene HKF: Laryngectomy: Oropharynx colonization and preventive treatment , in van der Waay D, Verhoef J (eds): New Criteria for Antimicrobial Therapy: Maintenance of Digestive Tract Colonization Resistance . Princeton, NJ, Excerpta Medica, 1979, p 189. 10. Stoutenbeek ChP, van Saene HKF, Miranda DR, et al: The effect of selective decontamination of the digestive tract on colonization and infection rate in multiple trauma patients . Intensive Care Med 1984;10:185-192.Crossref 11. De Vries-Hospers HG, Mulder NH, Sleijfer DT, et al: The effect of amphotericin B lozenges on the presence and number of Candida cells in the oropharynx of neutropenic leukemia patients . Infection 1982;2:71-75.Crossref 12. Van Saene HKF, Willems FTh, Zweens J: Influence of amoxicillin and cefaclor on the colonization resistance of oropharynx . Scand J Infect Dis 1983;39( (suppl) ):97-99. 13. Ajello L, Georg LK, Kaplan W, et al: Laboratory Manual for Medical Mycology , Public Health Service Publication 994, 1966. 14. Wade JC, Schimpff SC, Newman KA, et al: Staphylococcus epidermidis: An increasing cause of infection in patients with granulocytopenia . Ann Intern Med 1982;97:503-508.Crossref 15. Orie NGM: De aanwezigheid en de betekenis van gisten in de luchtwegen, PhD thesis. Groningen, the Netherlands, 1946. 16. Managi S, Miyake Y, Inagaki K, et al: Hydrophobic interaction in Candida albicans and Candida tropicalis adherence to various denture base resin materials . Infect Immun 1984;47:11-14. 17. Browne MK, Leslie GB, Pfirrmann RW: Taurolin, a new chemotherapeutic agent . J Appl Bacteriol 1976;41:363-368.Crossref 18. Annyas AA, Nijdam HF, Escajadillo JR, et al: Groningen prosthesis for voice rehabilitation after laryngectomy . Clin Otolaryngol 1984;9:51-54.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Oropharynx Decontamination Preventing Candida Vegetation on Voice Prostheses

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References (19)

Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1986.03780100078012
Publisher site
See Article on Publisher Site

Abstract

Abstract • Candida vegetations found in silicone voice prostheses used in postlaryngectomy voice rehabilitation are associated with prothesis dysfunction. Selective oropharyngeal decontamination with amphotericin B lozenges resulted in sharp decrease of oropharyngeal Candida concentrations with a subsequent reduction of yeast colonization on voice protheses and in tracheoesophageal fistula in ten patients. A case report suggests that this selective oropharyngeal decontamination can prolong the device's lifetime. (Arch Otolaryngol Head Neck Surg 1986;112:1090-1092) References 1. Singer MI, Blom ED, Hamaker RL: Further experience with voice restoration after total laryngectomy . Ann Otol Rhinol Laryngol 1981;90:498-502. 2. Panje WR: Prosthetic vocal rehabilitation following laryngectomy: The voice button . Ann Otol Rhinol Laryngol 1981;90:116-120. 3. Mahieu HF, Annyas AA, Nijdam HF: The Groningen button results, in Proceedings of the International Workshop on Voice Prosthesis, Würzburg, West Germany. New York, SpringerVerlag NY Inc, in press. 4. Manni JJ, van den Broek P, de Groot MAH, et al: Voice rehabilitation after laryngectomy with the Groningen prosthesis . J Otolaryngol 1984;13:333-336. 5. Herrmann IF, Koss W: Die fingerfreie Sprache nach totale Laryngektomie . HNO 1985;33:124-129. 6. Mahieu HF, van Saene HKF, Rosingh HJ, et al: Candida vegetations on silicone voice prostheses . Arch Otolaryngol Head Neck Surg 1985; 112:321-325.Crossref 7. Martin MV, Al-Tikriti U, Bramley PA: Yeast flora of the mouth and skin during and after irradiation for oral and laryngeal cancer . J Med Microbiol 1981;14:457-467.Crossref 8. Pau HW, Straehler-Pohl HJ, Exner M: Untersuchungen zur Sprosspilzflora während Tumor-Bestrahlungen im oberen Aerodigestivtrakt . HNO 1985;33:485-488. 9. Schudel CFS, van Saene HKF: Laryngectomy: Oropharynx colonization and preventive treatment , in van der Waay D, Verhoef J (eds): New Criteria for Antimicrobial Therapy: Maintenance of Digestive Tract Colonization Resistance . Princeton, NJ, Excerpta Medica, 1979, p 189. 10. Stoutenbeek ChP, van Saene HKF, Miranda DR, et al: The effect of selective decontamination of the digestive tract on colonization and infection rate in multiple trauma patients . Intensive Care Med 1984;10:185-192.Crossref 11. De Vries-Hospers HG, Mulder NH, Sleijfer DT, et al: The effect of amphotericin B lozenges on the presence and number of Candida cells in the oropharynx of neutropenic leukemia patients . Infection 1982;2:71-75.Crossref 12. Van Saene HKF, Willems FTh, Zweens J: Influence of amoxicillin and cefaclor on the colonization resistance of oropharynx . Scand J Infect Dis 1983;39( (suppl) ):97-99. 13. Ajello L, Georg LK, Kaplan W, et al: Laboratory Manual for Medical Mycology , Public Health Service Publication 994, 1966. 14. Wade JC, Schimpff SC, Newman KA, et al: Staphylococcus epidermidis: An increasing cause of infection in patients with granulocytopenia . Ann Intern Med 1982;97:503-508.Crossref 15. Orie NGM: De aanwezigheid en de betekenis van gisten in de luchtwegen, PhD thesis. Groningen, the Netherlands, 1946. 16. Managi S, Miyake Y, Inagaki K, et al: Hydrophobic interaction in Candida albicans and Candida tropicalis adherence to various denture base resin materials . Infect Immun 1984;47:11-14. 17. Browne MK, Leslie GB, Pfirrmann RW: Taurolin, a new chemotherapeutic agent . J Appl Bacteriol 1976;41:363-368.Crossref 18. Annyas AA, Nijdam HF, Escajadillo JR, et al: Groningen prosthesis for voice rehabilitation after laryngectomy . Clin Otolaryngol 1984;9:51-54.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Oct 1, 1986

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