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Masculinization Laryngoplasty.

C Michael Haben1

  • 1Director, Center for the Care of the Professional Voice, 980 Westfall Road, Rochester, NY 14618, USA.

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|June 25, 2022
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Summary
This summary is machine-generated.

Pitch reduction thyroplasty, specifically Isshiki type III, offers voice deepening for transgender men. This surgical option is considered when speech therapy and hormone therapy do not achieve desired vocal masculinization.

Keywords:
MaleMasculineSpeechTestosteroneTransgenderVoice

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Area of Science:

  • Otolaryngology
  • Vocal cord surgery
  • Gender-affirming care

Background:

  • Pitch reduction thyroplasty has historically addressed high-pitched voice disorders in cisgender men.
  • Current applications predominantly focus on transgender men seeking vocal masculinization.
  • It serves individuals who have not achieved sufficient voice pitch reduction through speech therapy or hormone therapy.

Purpose of the Study:

  • To review the current state of pitch reduction thyroplasty, focusing on Isshiki type III thyroplasty and its modifications.
  • To detail the application of this surgical procedure in transgender men for vocal masculinization.
  • To describe commonly employed modifications to the standard procedure.

Main Methods:

  • Literature review of pitch reduction thyroplasty techniques.
  • Analysis of Isshiki type III thyroplasty and its variations.
  • Examination of surgical outcomes and modifications for transgender voice feminization.

Main Results:

  • Isshiki type III thyroplasty and its modifications are a key surgical intervention for vocal masculinization in transgender men.
  • The procedure is effective for individuals with persistent high-pitched voices after non-surgical interventions.
  • Various surgical modifications enhance the efficacy and safety of the procedure.

Conclusions:

  • Pitch reduction thyroplasty, particularly Isshiki type III, is a valuable tool in gender-affirming voice care for transgender men.
  • Surgical intervention provides an option for achieving deeper vocal pitch when other methods are insufficient.
  • Understanding and applying modifications to the procedure are crucial for optimal patient outcomes.