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A Study of Bacteriology

Bruce H. Matt, MD; Charles M. Myer, III, MD; Christopher J. Harrison, MD; Shirley F. Reising, PhD; Robin T. Cotton, MD

Arch Otolaryngol Head Neck Surg. 1991;117(5):538-541.

Abstract
• We prospectively examined 19 patients (21 laryngotracheal reconstructions) over a 6-month period to evaluate the bacteriology of granulation tissue present at the time of Teflon stent removal and at the first laryngoscopy several weeks later. The most frequently recovered isolates were viridans streptococci, Pseudomonas aeruginosa, nonhemolytic Streptococcus, and Staphylococcus aureus. All but one positive culture were polymicrobial. The amount of tissue did not correlate with the duration of stenting and the amount of granulation tissue and number of organisms decreased after stent removal. Further prospective study of the most appropriate antimicrobial therapy is needed.

(Arch Otolaryngol Head Neck Surg. 1991;117:538-541)

Author Affiliations
From the Departments of Pediatric Otolaryngology and Maxillofacial Surgery (Drs Matt, Myer, and Cotton) and Pediatrics, Division of Infectious Diseases (Drs Harrison and Reising), Children's Hospital Medical Center, Cincinnati, Ohio. Dr Matt is now with the Department of Otolaryngology—Head and Neck Surgery, Indiana University School of Medicine, Indianapolis.

Footnotes
Accepted for publication November 2, 1990.

Presented at the fifth annual meeting of the American Society of Pediatric Otolaryngology, Toronto, Ontario, May 17, 1990.

Reprint requests to Department of Pediatric Otolaryngology and Maxillofacial Surgery, Children's Hospital Medical Center, Elland and Bethesda avenues, Cincinnati, OH 45229-2899 (Dr Myer).

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