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Die Mundhöhle als Keimreservoir

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Tracheotomie und Tracheostomaversorgung

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Zusammenfassung

Die oberen Atemwege als Lebensraum für viele Mikroorganismen haben einen großen Einfluss auf die Tracheotomie, nachdem die Mundhöhle einen Lebensraum für über 700 verschiedene Bakterienspezies darstellt. Bereits im Mundraum (z. B. auf den Zähnen) beginnt kurz nach dem Zähneputzen die Biofilmformation. Das im gesunden Zustand bestehende Gleichgewicht in der Mundhöhle kann sich durch eine Schwächung des Immunsystems, der lokalen Abwehrmechanismen oder Überhandnehmen spezifischer Bakterien in Richtung Dysbiose verschieben und eine Erkrankung verursachen. Karies und parodontale Erkrankungen sind die zwei häufigsten infektiös bedingten Erkrankungen der Mundhöhle. Erkrankungen der Mundhöhle können Pneumonien oder lokale Infektionen nach Tracheotomie begünstigen.

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Authors and Affiliations

  1. Abteilung für Parodontologie, Universität Malmö, Carl Gustafs väg 34, 205 06, Malmö, Schweden

    Priv. Doz. Dr., PhD, MSc Kristina Bertl

  2. Klinischer Bereich Zahnerhaltung & Parodontologie, Universitätszahnklinik Wien, Sensengasse 2a, 1090, Wien, Österreich

    Ass. Prof. Dr. Gerlinde Durstberger

  3. Stellv. Leiterin der Klinischen Abteilung Phoniatrie- Logopädie, Universitätsklinik für Hals-, Nasen- und Ohrenkrankheiten/Medizinische Universität Wien, Währinger Gürtel 18–20, 1090, Wien, Österreich

    Ao. Univ. Prof. Dr. Berit Schneider-Stickler

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  1. Priv. Doz. Dr., PhD, MSc Kristina Bertl
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  2. Ass. Prof. Dr. Gerlinde Durstberger
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  3. Ao. Univ. Prof. Dr. Berit Schneider-Stickler
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Correspondence to Kristina Bertl , Gerlinde Durstberger or Berit Schneider-Stickler .

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  1. Univ.-HNO-Klinik, Medizinische Universität Wien, Wien, Austria

    Berit Schneider-Stickler

  2. Abteilung für HNO, Kopf- und Halschirurgie, Klinikum Mutterhaus der Borromäerinnen, Trier, Deutschland

    Peter Kress

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Bertl, K., Durstberger, G., Schneider-Stickler, B. (2018). Die Mundhöhle als Keimreservoir. In: Schneider-Stickler, B., Kress, P. (eds) Tracheotomie und Tracheostomaversorgung. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4868-6_14

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