Title: Chondrolaryngoplasty in transgender women: Prospective analysis
of voice and aestheticsatisfactionof 15 patients
KEYPOINTS
- Chondrolaryngoplasty or “tracheal shaving” is cosmetic surgery to
reduce the laryngeal prominence in transgender women.
- Chondrolaryngoplasty represents a challenge in seeking a balance
between aesthetics and function: a very conservative resection of the
thyroid cartilage may lead to aesthetic dissatisfaction, while
excessive resection may destabilize the anterior commissure tendon,
causing permanent vocal damage.
- This was the first study to assess fundamental frequency and GRBAS
scale before and after the surgery andthere was no permanent vocal
changein any of the patients. The midpoint of the height of the
thyroid cartilage was a simple, easy to perform and safe parameter to
locate and preserve the anterior commissure.
- Smoothing the edges and flattening the residual laryngeal prominence
with a 4 mm diamond burr enabled major remodeling without a
temerarious resection.All 15 patients presented a positive variation
in the visual analogue score for aesthetic satisfaction,with a mean
improvement of 8.6 ± 1.9 out of 10.
- Chondrolaryngoplasty led to significant aesthetic satisfactionin
transgender women. The surgery caused no vocal change.
Keywords: Transgender Persons.Sex Reassignment Procedures.
Plastic Surgery. Thyroid Cartilage. Voice.
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