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Disinfection of Silicone Voice Prostheses

Disinfection of Silicone Voice Prostheses Abstract To the Editor.—Mahieu et al1 recently reported that Candida albicans was responsible for early deterioration of silicone voice prostheses used in a tracheoesophageal fistula for postlaryngectomy voice restoration. Fungal vegetations on the prosthesis prevented competent valve closure, causing aspiration. Prosthesis durability was reduced from an average of three months to just a few weeks. We have also identified Candida on the esophageal surface of silicone voice prostheses used by a significant number of our patients. They report inability to remove these deposits by routine cleaning methods and device leakage after three to four weeks' use. In two patients selected for study, Candida deposits embedded in the porous silicone surface appeared within a week of use, and proliferation interfered with valve function as early as 21 and 28 days, respectively. As an alternative to eradication of Candida in the host, we suggest disinfecting the prosthesis with an antifungal agent References 1. Mahieu HF, van Saene HKJ, Rosingh HJ, et al: Candida vegetations on silicone voice prostheses . Arch Otolaryngol Head Neck Surg 1986;112:321-325.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Disinfection of Silicone Voice Prostheses

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Disinfection of Silicone Voice Prostheses

Abstract

Abstract To the Editor.—Mahieu et al1 recently reported that Candida albicans was responsible for early deterioration of silicone voice prostheses used in a tracheoesophageal fistula for postlaryngectomy voice restoration. Fungal vegetations on the prosthesis prevented competent valve closure, causing aspiration. Prosthesis durability was reduced from an average of three months to just a few weeks. We have also identified Candida on the esophageal surface of silicone voice prostheses...
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References (1)

Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1986.03780120067020
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.—Mahieu et al1 recently reported that Candida albicans was responsible for early deterioration of silicone voice prostheses used in a tracheoesophageal fistula for postlaryngectomy voice restoration. Fungal vegetations on the prosthesis prevented competent valve closure, causing aspiration. Prosthesis durability was reduced from an average of three months to just a few weeks. We have also identified Candida on the esophageal surface of silicone voice prostheses used by a significant number of our patients. They report inability to remove these deposits by routine cleaning methods and device leakage after three to four weeks' use. In two patients selected for study, Candida deposits embedded in the porous silicone surface appeared within a week of use, and proliferation interfered with valve function as early as 21 and 28 days, respectively. As an alternative to eradication of Candida in the host, we suggest disinfecting the prosthesis with an antifungal agent References 1. Mahieu HF, van Saene HKJ, Rosingh HJ, et al: Candida vegetations on silicone voice prostheses . Arch Otolaryngol Head Neck Surg 1986;112:321-325.Crossref

Journal

Archives of Otolaryngology - Head & Neck Surgery – American Medical Association

Published: Dec 1, 1986

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