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Cricothyroid approximation using a silastic sheath: a new approach.

Abdul-Latif Hamdan¹

¹Department of Otolaryngology-Head & Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon. ah77@aub.edu.lb

Middle East Journal of Anaesthesiology

|May 3, 2013

Summary

This summary is machine-generated.

Cricothyroid approximation surgery can raise vocal pitch in male to female transsexuals. A novel technique using a silastic sheath prevents suture failure, improving surgical outcomes for gender affirmation.

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Area of Science:

Otolaryngology
Gender Affirmation Surgery
Surgical Innovation

Background:

Transsexualism involves a gender identity disorder where individuals identify with a sex different from their birth sex.
Hormonal therapy and surgical interventions are used for appearance changes in male to female transsexuals.
Cricothyroid approximation is a common surgical technique to increase vocal pitch.

Observation:

Long-term follow-up of cricothyroid approximation surgery shows partial failure.
Suture cutting through the cricoid and thyroid cartilages is a cause of surgical failure.
A novel surgical approach is needed to improve the success rate of this procedure.

Findings:

This report details the first use of a silastic sheath in cricothyroid approximation.
The silastic sheath is placed between the cricoid and thyroid cartilages and the mattress suture.
This technique aims to prevent sutures from cutting through the cartilages.

Implications:

This modified surgical technique may improve the long-term success of vocal pitch elevation in male to female transsexuals.
It offers a potential solution to a known complication of cricothyroid approximation.
Further studies are warranted to evaluate the efficacy and durability of this innovative approach.