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)