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Endoscopic laryngeal web formation for pitch elevation.

Jennifer Anderson¹

¹Department of Otolaryngology, Head and Neck Surgery, St. Michael's Hospital, Toronto, Ontario, Canada. andersonj@smh.toronto.on.ca

The Journal of Otolaryngology

|March 23, 2007

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This study reviews surgical pitch elevation techniques and introduces a novel endoscopic laryngeal web formation method. The procedure successfully and permanently increased speaking fundamental frequency in six patients with minimal morbidity.

Area of Science:

Otolaryngology
Speech-Language Pathology
Gender Affirming Care

Background:

Endoscopic laryngeal web formation is utilized for voice pitch elevation, particularly in male-to-female gender reassignment.
Existing literature on surgical pitch elevation requires comprehensive review.
A novel technique for endoscopic laryngeal web formation is proposed.

Purpose of the Study:

To review the literature on surgical treatments for voice pitch elevation.
To describe a new endoscopic laryngeal web formation technique.
To report the outcomes of this novel procedure in a patient series.

Main Methods:

Literature review on surgical pitch elevation.
Description of a novel endoscopic laryngeal web formation technique using Gelfoam augmentation.

Related Experiment Videos

Assessment of six patients including pre- and postoperative voice recordings, acoustic analysis, and videostroboscopic examinations.

Main Results:

Successful endoscopic web formation achieved in all six patients.
Significant and permanent increase in habitual speaking fundamental frequency observed at least 6 months post-procedure.
The Gelfoam augmentation technique demonstrated minimal to no morbidity.

Conclusions:

The novel endoscopic laryngeal web formation technique is a successful method for permanent voice pitch elevation.
This procedure offers a safe and effective option for individuals seeking higher speaking pitch.
The technique shows promise as a valuable intervention in voice feminization and gender affirmation.