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Cricothyroid approximation and thyroid chondroplasty: a patient survey
Vandana Matai1, Anthony D Cheesman, Peter M Clarke
1Department of Otolaryngology, Charing Cross Hospital, Fulham Palace Road, London, UK.
Summary
Cricothyroid approximation and thyroid chondroplasty significantly improve voice pitch and appearance for male-to-female transsexuals, with high patient satisfaction reported for these voice feminization surgeries.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Gender Affirming Care
Background:
- Cricothyroid approximation and thyroid chondroplasty are surgical procedures used to feminize the voice in male-to-female transsexual individuals.
- These procedures aim to raise vocal pitch and improve aesthetic appearance of the larynx.
Purpose of the Study:
- To evaluate patient satisfaction with cricothyroid approximation and thyroid chondroplasty.
- To assess the perceived benefits of surgery versus speech therapy for voice feminization.
Main Methods:
- A retrospective review of 54 patients who underwent cricothyroid approximation and thyroid chondroplasty over 8 years.
- Postal questionnaires were sent to 45 patients to assess satisfaction with laryngeal appearance and voice pitch.
Main Results:
- A 93% response rate was achieved.
- 86% of patients reported improved laryngeal profile, and 79% reported improved voice pitch.
- 55% found surgery more beneficial than speech therapy (21%).
Conclusions:
- Cricothyroid approximation and thyroid chondroplasty demonstrate high patient satisfaction rates.
- These surgical interventions are effective for voice feminization and aesthetic enhancement in male-to-female transsexuals.