[Time course of microbial colonization of different voice prostheses].
OBJECTIVE
For the vocal rehabilitation of laryngectomized patients, voice prostheses are actually one of the best known methods. Caused by the surface colonisation with bacteria and fungi the life time of the prostheses is limited to 3-4 months.


METHODS
In a time period of 127 months we analysed the surface colonisation of 118 voice prostheses.


RESULTS
The mean life time of the prostheses was 156 days. In reference to the prosthesis model we also recorded different times of usage (ESKA-Herrmann 141, Provox 2 184 and Provox 1 204 days (p>0.05)). In the microbiological examination the dominating bacteria were S. aureus, Klebsiella sp. and Proteus sp. It was possible to cultivate all these bacteria on every type of prosthesis used in the study. In addition C. albicans, C. glabrata, C. krusei and C. tropicalis were the main fungi on the silicone surface. Thereby a more frequent colonisation with C. krusei on ESKA-Herrmann prostheses was measured, caused by the bigger contact area with saliva on this model (p=0.034).


CONCLUSIONS
Because of the similar position and way of function, all types of voice prostheses are colonized by almost the same species of bacteria and fungi. But in dependency of the type an affinity of individual species to special prostheses exist. The knowledge of these individual affinities is necessary for the further development of voice prostheses. Furthermore the diversity of bacteria and fungi species showed a level of saturation on the surface. This is caused by the limited space on the silicone prostheses.
Klinik und Poliklinik für HNO-Heilkunde, Kopf- und Halschirurgie Otto Körner, Universität Rostock, Rostock, Germany. tobias.schuldt@med.uni-rostock.de
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Dommerich
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D001419:Bacteria / Q000302:isolation & purification; D018441:Biofilms / Q000254:growth & development*; D002175:Candida / Q000302:isolation & purification; D006801:Humans; D007825:Laryngectomy / Q000534:rehabilitation*; D007831:Larynx, Artificial / Q000382:microbiology*; D008828:Microbiological Techniques; D011474:Prosthesis Design; D013499:Surface Properties