A型甲状腺関節を持つトランス女性における甲状腺関節の近似値
Claudio Storck1, Anna Schaufelbuehl1, Carla Mueller1
1Department of Otorhinolaryngology, Head and Neck Surgery, Department of Phoniatrics, University Hospital Basel, Basel, Switzerland.
The Laryngoscope
|September 1, 2025
まとめ
甲状腺近似 (CTA) は,A型甲状腺関節 (CTJ) を有するトランスジェンダーの女性の声のピッチを効果的に上げます. この手術による声の回復技術は 高い声の基本周波数を求める個人に 安定した長期的結果をもたらします
科学分野:
- 耳鼻喉科
- スピーチと言語の病理学
- 性別を肯定するケア
背景:
- 低音はトランスジェンダーの女性に よくある問題です
- クリコタイロイド近似 (CTA) は,声の基本周波数を増やすための外科的処置である.
- 特定の喉頭構造を持つトランスジェンダーの女性におけるCTAの有効性と長期的な安定性は完全に確立されていません.
研究 の 目的:
- A型甲状腺関節 (CTJs) のトランスジェンダー女性における甲状腺近似 (CTA) の音声結果の評価.
- 声のピッチの変化の安定性を評価するためにCTAの後の5年間の期間.
- 患者の報告した声の質に対するCTAの影響を決定する.
主な方法:
- A型CTJを持つ35人のトランスジェンダーの女性を対象とした前向きなコホート研究で,コンピュータトモグラフィーで確認された.
- 声の評価には,平均話すレベル (MSL),高音量,声域,トランス女性声のアンケート (TWVQ) が含まれていました.
- 声療法の前と後,そしてCTA後5年までの間隔で評価が行われました.
主要な成果:
- 音声療法は,MSLを134Hzから150Hzに増加させた.
- CTAは,手術後の4週間で184Hz,そして6ヶ月で199Hzに有意に増加しました.
- MSLは203~209Hzの範囲で5年間安定していた. CTA後のTWVQスコアは改善し,安定したままでした.
結論:
- A型CTJのトランスジェンダーの女性の声高を高める 有効な手術手法です
- CTAで達成された声のピッチの改善は少なくとも5年間安定しています.
- A型CTJを持つトランスジェンダー女性が声の女性化を求める場合は,CTAを考慮する必要があります.
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