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  1. Home
  3. A Novel Single-incision Approach For Thyroid Cartilage Augmentation Using Thyroid Alar Grafts.
  1. Home
  3. A Novel Single-incision Approach For Thyroid Cartilage Augmentation Using Thyroid Alar Grafts.

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A Novel Single-Incision Approach for Thyroid Cartilage Augmentation Using Thyroid Alar Grafts.

Elisa Bass1, Jeffrey D Bernstein1, Andrew M Vahabzadeh-Hagh1

  • 1Department of Otolaryngology / Head and Neck Surgery, University of California, San Diego, CA, USA.

Ear, Nose, & Throat Journal
|June 15, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

This study introduces a new, less invasive surgical method for thyroid cartilage masculinization using thyroid alar cartilage grafts. This technique offers effective Adam

Keywords:
augmentationmasculinizationthyroid alar graftsthyroid cartilage

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Area of Science:

  • Surgical Innovation
  • Gender-Affirming Surgery
  • Plastic and Reconstructive Surgery

Background:

  • Thyroid cartilage masculinization is a key aspect of gender-affirming surgery.
  • Traditional methods using rib cartilage cause donor site morbidity.
  • A less invasive alternative is needed for thyroid cartilage augmentation.

Purpose of the Study:

  • To describe a novel single-incision technique for thyroid cartilage augmentation.
  • To evaluate the efficacy and patient satisfaction of using autologous thyroid alar cartilage grafts.
  • To present an alternative to traditional augmentation methods with reduced donor site morbidity.

Main Methods:

  • A novel single-incision technique was developed for thyroid cartilage augmentation.
  • Autologous thyroid alar cartilage grafts were harvested and fashioned into a neothryoid notch construct.
  • The graft was secured to the native thyroid cartilage to enhance anterior projection in a transmale patient.

Main Results:

  • The procedure was performed successfully via a single high cervical incision.
  • The patient experienced no complications and reported high satisfaction with aesthetic and tactile outcomes.
  • Postoperative assessment at 15 days and 9.5 months confirmed positive results.

Conclusions:

  • Thyroid alar cartilage grafting is a promising, less invasive option for thyroid cartilage masculinization.
  • This technique avoids the morbidity associated with distant donor sites like rib cartilage.
  • The single-incision approach offers effective augmentation with improved patient outcomes.