第三类甲状腺整形在变性男性声部男性化中的有效性:一项回顾性观察性研究
Guilherme Simas do Amaral Catani1, Maria Eduarda Carvalho Catani2, Maria Cristina de Alencar Nunes1
1Complex of the Clinical Hospital of the Federal University of Paraná - EBSERH, Curitiba, Brazil.
Journal of voice : official journal of the Voice Foundation
|October 24, 2024
概括
第三种类型的甲状腺整形 (TP3) 有效地降低了在进行丸激素治疗后寻求语音男性化的跨性别男性的语音基本频率 (F0). 这种安全的外科选择显著改善了符合条件的候选人的语音音调.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肯定性别的护理.
- 声学分析 声学分析
背景情况:
- 单独使用丸激素治疗往往无法在跨性别男性中实现所需的声音男性化.
- 患者对语音调度的不满需要进一步的干预.
研究的目的:
- 评估三型胸部整形术 (TP3) 对跨性别男性声乐男性化的疗效.
- 评估TP3.3后基本频率 (F0) 的变化.
- 将发现与现有文献进行比较.
主要方法:
- 追溯观察性研究.
- 包括13名跨性别男性,他们在丸激素治疗结果不足后接受了TP3.
- 声学语音分析测量了手术前和手术后6个月的F0.
主要成果:
- 手术前平均F0为156Hz,手术后显著下降至108.77Hz (平均差异为47.23Hz,P<0.001).
- 在TP3中,声高显著降低.
- 唯一报告的并发症是一种可控的皮下肺瘤病例.
结论:
- 第三种类型的甲状腺整形术是一种安全有效的手术方法,用于跨性别男性的声乐男性化.
- 对于那些在丸激素治疗后对语音不满意的人来说,TP3提供了一个可行的解决方案.
- 这项研究代表了跨性别男性TP3病例的最大系列,突出了其临床重要性.
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