PMID- 25641597 OWN - NLM STAT- MEDLINE DCOM- 20180226 LR - 20181202 IS - 1097-0347 (Electronic) IS - 1043-3074 (Linking) VI - 38 Suppl 1 DP - 2016 Apr TI - Biofilm formation on the Provox ActiValve: Composition and ingrowth analyzed by Illumina paired-end RNA sequencing, fluorescence in situ hybridization, and confocal laser scanning microscopy. PG - E432-40 LID - 10.1002/hed.24014 [doi] AB - BACKGROUND: The most frequent cause of voice prosthesis failure is microbial biofilm formation on the silicone valve, leading to destruction of the material and transprosthetic leakage. The Provox ActiValve valve is made of fluoroplastic, which should be insusceptible to destruction. The purpose of this study was to determine if fluoroplastic is insusceptible to destruction by Candida species. METHODS: Thirty-three dysfunctional Provox ActiValves (collected 2011-2013). Biofilm analysis was performed with Illumina paired-end sequencing (IPES), assessment of biofilm-material interaction with fluorescence in situ hybridization (FISH), and confocal laser scanning microscopy (CLSM). RESULTS: IPES (n = 10) showed that Candida albicans and Candida tropicalis are dominant populations on fluoroplastic and silicone. Microbial diversity is significantly lower on fluoroplastic. Lactobacillus gasseri is the prevalent bacterial strain on most voice prostheses. FISH and CLSM (n = 23): in none of the cases was ingrowth of Candida species present in the fluoroplastic. CONCLUSION: Fluoroplastic material of Provox ActiValve seems insusceptible to destruction by Candida species, which could help improve durability of voice prostheses. (c) 2015 Wiley Periodicals, Inc. Head Neck 38: E432-E440, 2016. CI - (c) 2015 Wiley Periodicals, Inc. FAU - Timmermans, Adriana J AU - Timmermans AJ AD - Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - Harmsen, Hermie J M AU - Harmsen HJ AD - Department of Medical Microbiology, University of Groningen, University Medical Center, Groningen, Groningen, The Netherlands. FAU - Bus-Spoor, Carien AU - Bus-Spoor C AD - Department of Medical Microbiology, University of Groningen, University Medical Center, Groningen, Groningen, The Netherlands. FAU - Buijssen, Kevin J D A AU - Buijssen KJ AD - Department of Otorhinolaryngology, Albert Schweitzer Hospital, Dordrecht, The Netherlands. FAU - van As-Brooks, Corina AU - van As-Brooks C AD - Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Department of Clinical Affairs, Atos Medical AB, Horby, Sweden. FAU - de Goffau, Marcus C AU - de Goffau MC AD - Department of Medical Microbiology, University of Groningen, University Medical Center, Groningen, Groningen, The Netherlands. FAU - Tonk, Rudi H AU - Tonk RH AD - Department of Medical Microbiology, University of Groningen, University Medical Center, Groningen, Groningen, The Netherlands. FAU - van den Brekel, Michiel W M AU - van den Brekel MW AD - Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Institute of Phonetic Sciences, University of Amsterdam, Amsterdam, The Netherlands. AD - Department of Oral and Maxillofacial Surgery, Academic Medical Center, Amsterdam, The Netherlands. FAU - Hilgers, Frans J M AU - Hilgers FJ AD - Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Institute of Phonetic Sciences, University of Amsterdam, Amsterdam, The Netherlands. AD - Department of Oral and Maxillofacial Surgery, Academic Medical Center, Amsterdam, The Netherlands. FAU - van der Laan, Bernard F A M AU - van der Laan BF AD - Department of Otorhinolaryngology and Head and Neck Oncology and Surgery, University of Groningen, University Medical Center, Groningen, Groningen, The Netherlands. LA - eng PT - Journal Article DEP - 20150714 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 RN - 0 (Plastics) SB - IM MH - Adult MH - Aged MH - *Biofilms MH - Candida/isolation & purification MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Lactobacillus/isolation & purification MH - Laryngectomy MH - Larynx, Artificial/*microbiology MH - Male MH - Microscopy, Confocal MH - Middle Aged MH - Plastics MH - Prosthesis Design MH - Sequence Analysis, RNA OTO - NOTNLM OT - Candida OT - biofilm OT - total laryngectomy OT - voice prosthesis OT - voice rehabilitation EDAT- 2015/02/03 06:00 MHDA- 2018/02/27 06:00 CRDT- 2015/02/03 06:00 PHST- 2014/05/30 00:00 [received] PHST- 2014/12/18 00:00 [revised] PHST- 2015/01/06 00:00 [accepted] PHST- 2015/02/03 06:00 [entrez] PHST- 2015/02/03 06:00 [pubmed] PHST- 2018/02/27 06:00 [medline] AID - 10.1002/hed.24014 [doi] PST - ppublish SO - Head Neck. 2016 Apr;38 Suppl 1:E432-40. doi: 10.1002/hed.24014. Epub 2015 Jul 14.