Objective: Demonstrate that biofilm formation will be reduced on tracheoesophageal prostheses when vibratory stimulus is applied compared to controls receiving no vibratory stimulus in a dynamic in vitro model of biofilm accumulation simulating the interface across the tracheoesophageal puncture site.Study Design: Prospective, Randomized, Controlled, Crossover in University Laboratory Methods: Ex vivo tracheoesophageal prostheses were obtained from University-affiliated speech language pathologists. Prostheses demonstrating physical integrity and an absence of gross biofilm accumulation were utilized. 16 prostheses were cleansed and sterilized prior to random placement by length in two modified Robbins devices arranged in parallel. Each device was seeded with a polymicrobial oral flora on day 1 and received basal artificial salivary flow continuously with three growth medium meals daily. One device was randomly selected for vibratory stimulus and 2 minutes of vibration was applied to each prosthesis before and after meals for 5 days. The prostheses were explanted, sonicated, and the biofilm cultured for enumeration. This process was repeated after study arm crossover. Wannemuehler, 3
Results