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. 2020 May 20;11:975. doi: 10.3389/fmicb.2020.00975

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Copyright © 2020 Pentland, Stevens, Williams, Baker, McCall, Makarovaite, Balfour, Mühlschlegel and Gourlay.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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The antifungal treatment guidelines along with its effects on voice prosthesis lifespan within each patient. (A) Dumbbell chart representation of the mean VP lifespan difference after guideline implementation for each of the 20 patients. (B) Box plot representation of VP in situ lifespans before and after guideline implementation, Wilcoxon Signed-Rank test: ***p < 0.001. (C) Summary of the treatment pathway. As of January 2019, this management pathway has been distributed to 34 different speech and language therapy centers (32 in the United Kingdom, 2 internationally) upon request.