PMID- 21953690 OWN - NLM STAT- MEDLINE DCOM- 20121024 LR - 20120521 IS - 1097-0347 (Electronic) IS - 1043-3074 (Linking) VI - 34 IP - 6 DP - 2012 Jun TI - Composition and architecture of biofilms on used voice prostheses. PG - 863-71 LID - 10.1002/hed.21833 [doi] AB - BACKGROUND: Biofilms on medical devices are a frequent reason for failure of the device. Voice prostheses in laryngectomized patients deteriorate within 3 to 4 months due to adhering biofilms, impeding proper functioning. Recently, we showed that these biofilms are dominated by Candida and lactobacilli. However, the early report of this finding lacked an in depth analysis of the species diversity and community structure. METHODS: Denaturing gradient gel electrophoresis (DGGE) and sequence analysis of amplified rRNA genes was used to identify microorganisms. Fluorescence in situ hybridization (FISH) was used to analyze biofilm architecture. RESULTS: Candida are the predominant fungi in the biofilms, while lactobacilli are the predominant bacteria in all investigated biofilms, followed by streptococci. FISH shows that lactobacilli and streptococci seem to have an important interaction with fungi. CONCLUSION: The results give a better understanding of biofilm formation and can be used in further development to prevent biofilm formation on voice prostheses. CI - Copyright (c) 2011 Wiley Periodicals, Inc. FAU - Buijssen, Kevin J D A AU - Buijssen KJ AD - Department of Biomedical Engineering, University Medical Center Groningen and University of Groningen, Hanzeplein 1, P.O. Box 30001, 9700 RB Groningen, The Netherlands. FAU - van der Laan, Bernard F A M AU - van der Laan BF FAU - van der Mei, Henny C AU - van der Mei HC FAU - Atema-Smit, Jelly AU - Atema-Smit J FAU - van den Huijssen, Pauline AU - van den Huijssen P FAU - Busscher, Henk J AU - Busscher HJ FAU - Harmsen, Hermie J M AU - Harmsen HJ LA - eng PT - Journal Article DEP - 20110922 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 RN - 0 (DNA, Bacterial) RN - 0 (DNA, Fungal) RN - 0 (Oligonucleotide Probes) SB - IM MH - *Biofilms MH - DNA, Bacterial/isolation & purification MH - DNA, Fungal/isolation & purification MH - Denaturing Gradient Gel Electrophoresis MH - Female MH - Gram-Negative Bacteria/physiology MH - Gram-Positive Bacteria/physiology MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Larynx, Artificial MH - Male MH - Microscopy, Confocal MH - Oligonucleotide Probes MH - Polymerase Chain Reaction MH - Prosthesis-Related Infections/*microbiology EDAT- 2011/09/29 06:00 MHDA- 2012/10/25 06:00 CRDT- 2011/09/29 06:00 PHST- 2011/03/09 00:00 [revised] PHST- 2011/04/28 00:00 [accepted] PHST- 2011/09/06 00:00 [received] PHST- 2011/09/29 06:00 [entrez] PHST- 2011/09/29 06:00 [pubmed] PHST- 2012/10/25 06:00 [medline] AID - 10.1002/hed.21833 [doi] PST - ppublish SO - Head Neck. 2012 Jun;34(6):863-71. doi: 10.1002/hed.21833. Epub 2011 Sep 22.