title: [Bacterial and fungal colonization in indwelling total laryngectomy phonatory prostheses: identification of microbial agents, treatment protocol and prevention].
abstract: Today, after the erygmophonic voice, the application of phonatory prostheses is the rehabilitation strategy of choice in patients who had undergone laryngectomy. This is because the surgical procedure is simple and because they are highly successful. The main cause of complications is infection or biofouling. The present study examined the results of cultures taken from phonatory prostheses in 15 laryngectomy patients. The dominating strains of the bacteria and fungi were tested to determine their sensitivity to various pharmacological treatments. By working up and applying a preventive and treatment protocol to reduce prosthetic infections, the average duration of these devices, and thus their functionality, has been increased by approximately 50% bringing it from 6 to 9 months.
authors.affiliation: Dipartimento di Fisiopatologia Clinica, II Clinica ORL, Università di Torino.
authors.forename: G
authors.initials: G
authors.lastname: Nazionale
authors.forename: F
authors.initials: F
authors.lastname: Robbiano
authors.forename: E
authors.initials: E
authors.lastname: Gaido
authors.forename: M
authors.initials: M
authors.lastname: Bussi
authors.forename: E
authors.initials: E
authors.lastname: Ricci
authors.forename: E
authors.initials: E
authors.lastname: Riontino
authors.forename: G
authors.initials: G
authors.lastname: Schenone
authors.forename: A L
authors.initials: AL
authors.lastname: Cavalot
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000188:drug therapy / Q000382:microbiology / Q000517:prevention & control; D015169:Colony Count, Microbial; D006801:Humans; D007825:Laryngectomy; D007831:Larynx, Artificial / Q000382:microbiology*; D009181:Mycoses / Q000188:drug therapy / Q000382:microbiology / Q000517:prevention & control
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Colonizzazione, batterica e micotica, di protesi fonatorie fisse in pazienti laringectomizzati: identificazione degli agenti microbici, protocollo terapeutico e preventivo.