Chemoprophylaxis of fungal deterioration of the Provox silicone tracheoesophageal prosthesis in postlaryngectomy patients

vanWeissenbruch, R., Bouckaert, S., Remon, JP., Nelis, HJ., Aerts, R. & Albers, FWJ., Apr-1997, In : Annals of otology rhinology and laryngology. 106, 4, p. 329-337 9 p.

Research output: Contribution to journalArticleAcademicpeer-review

  • R vanWeissenbruch
  • S Bouckaert
  • JP Remon
  • HJ Nelis
  • R Aerts
  • FWJ Albers

A double-blind randomized trial was conducted among 36 laryngectomees to assess the influence of a buccal bioadhesive slow-release tablet containing miconazole nitrate on the lifetime of the Provox voice prosthesis. All patients colonized with Candida spp and treated with miconazole showed a significant decrease of colonization at the end of the study. Intratracheal phonatory pressures were remarkably higher after 2 months of follow-up in the placebo group. No local or systemic adverse reactions to miconazole were observed during this study. Patient compliance was acceptable according to regular miconazole determination in saliva samples. The device lifetime was significantly higher in patients treated with miconazole even after 1 year of follow-up. The use of a buccal bioadhesive slow-release tablet containing an antimycotic agent proves to be an adequate method of preventing fungal colonization and deterioration of silicone voice prostheses.

Original languageEnglish
Pages (from-to)329-337
Number of pages9
JournalAnnals of otology rhinology and laryngology
Issue number4
Publication statusPublished - Apr-1997


  • bioadhesive tablet, chemoprophylaxis, fungal deterioration, miconazole nitrate, total laryngectomy, voice prosthesis, RESISTANCE GRONINGEN BUTTON, VOICE PROSTHESIS, VOCAL REHABILITATION, TOTAL LARYNGECTOMY, CANDIDA-ALBICANS, IDENTIFICATION, COLONIZATION

ID: 6507469