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Chondrolaryngoplasty-Thyroid Cartilage Reduction.

Angela Sturm1, Scott R Chaiet2

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0521, USA; Facial Plastic Surgery Associates, 6655 Travis Street, Suite 900, Houston, TX 77030, USA.

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Summary

Chondrolaryngoplasty, or tracheal shave, is a safe surgery for reducing the Adam's apple, commonly performed for transfeminine individuals. This procedure can significantly improve quality of life by alleviating gender dysphoria associated with this male secondary sex characteristic.

Keywords:
Adam’s appleChondrolaryngoplastyFacial feminization surgeryThyroid notchTracheal shaveTransfeminineTransgender

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Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Gender Affirming Surgery

Background:

  • The Adam's apple is a secondary sex characteristic often associated with male sex.
  • Gender dysphoria can arise from a prominent Adam's apple in transfeminine individuals.
  • Chondrolaryngoplasty (tracheal shave) is a surgical option to address this concern.

Purpose of the Study:

  • To describe the surgical procedure of chondrolaryngoplasty (tracheal shave).
  • To highlight key anatomical landmarks and techniques for a safe procedure.
  • To evaluate the safety, complication rate, and impact on quality of life.

Main Methods:

  • Review of surgical techniques for chondrolaryngoplasty.
  • Discussion of relevant laryngeal anatomy and critical landmarks.
  • Analysis of patient outcomes, including complications and quality of life improvements.

Main Results:

  • Chondrolaryngoplasty is a safe procedure when performed with knowledge of laryngeal anatomy.
  • Complications associated with tracheal shave are rare.
  • The surgery leads to a significant improvement in the quality of life for patients.

Conclusions:

  • Chondrolaryngoplasty is an effective and safe surgical intervention for reducing the Adam's apple.
  • The procedure addresses gender dysphoria by feminizing the neck contour.
  • Careful attention to anatomical detail ensures favorable outcomes and patient satisfaction.