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[Patient Satisfaction after Pitch Elevation and Development of a Therapy Algorithm].

J Meister1, H Kuehn1, W Shehata-Dieler1

  • 1Klinik und Poliklinik für Hals-, Nasen- und Ohrenkrankheiten, plastische und ästhetische Operationen, Universitätsklinik Würzburg, Würzburg.

Laryngo- Rhino- Otologie
|April 30, 2016
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Summary
This summary is machine-generated.

Voice feminization surgery can increase self-confidence in male-to-female transgender individuals by raising vocal pitch. However, other voice qualities require voice therapy for optimal results.

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Area of Science:

  • Otolaryngology
  • Speech-Language Pathology
  • Gender Affirming Care

Background:

  • Voice feminization is crucial for male-to-female (MTF) transgender individuals.
  • Key voice parameters include fundamental frequency (pitch), intonation, prosody, and formant frequencies.
  • Both conservative voice therapy and surgical interventions are used for voice feminization.

Purpose of the Study:

  • To evaluate the impact of surgical vocal pitch elevation on MTF transgender individuals.
  • To assess patient satisfaction and voice quality after surgical intervention.
  • To propose an algorithm for voice feminization in MTF transsexualism.

Main Methods:

  • A study involving 21 MTF transgender individuals post-vocal pitch surgery.
  • Utilized the Voice Handicap Index (VHI) and Life Satisfaction Questionnaire (FLZ).
  • Developed a new algorithm for voice feminization.

Main Results:

  • Surgical elevation of vocal pitch led to increased self-confidence.
  • Some individuals remained unsatisfied with their voice despite pitch alteration.
  • Surgical intervention solely impacts vocal pitch.

Conclusions:

  • Conservative voice therapy is essential for modifying other voice parameters beyond pitch.
  • Surgical intervention may not be indicated if voice therapy alone achieves satisfactory feminization.
  • A combined approach may be necessary for comprehensive voice feminization.