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为声音男性化进行手术干预:一个全面的综述
Arjan Kalra1, Paul C Bryson2, Laurence Gascon3
1Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio.
Journal of voice : official journal of the Voice Foundation
|January 15, 2026
概括
声音男性化手术可以帮助变性男性在荷尔蒙治疗不足时实现更深的声音. 第三类喉腔整形提供了最好的声音加深结果,而更少的侵入性注射也显示出希望.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肯定性别的护理.
- 语音手术是一种手术.
背景情况:
- 激素治疗是跨性别男性过渡的标准,但语音不满影响高达20%.
- 语音治疗是常见的下一步,但手术选择是持续高声调的最后手段.
- 手术干预语音男性化疗法的有效性尚未得到充分证实.
研究的目的:
- 对跨男性个体的声音男性化进行手术和程序选择进行文献审查.
- 由于对语音男性化程序的数据有限,分析了针对青春期发声症的干预结果.
主要方法:
- 两个独立的审查员对手术和手术干预措施进行了范围审查,以进行语音男性化.
- 由于研究有限,还搜索了关于青春期发育症手术和手术结果的文献.
- 收集的数据包括基本频率,非程序性治疗,症状,干预,结果和并发症.
主要成果:
- 该评论包括4篇关于声音男性化和8篇关于青春期发音的文章.
- 对声音男性化的手术治疗包括III型喉膜整形和直接注射丸激素的声.
- 变性男性患者的声音加深平均为-43.75 Hz;在青春期的患者中,平均为-68.61 Hz.
结论:
- 保守的语音疗法往往是成功的声音男性化.
- 第三类喉腔整形证明了最显著的声音深化.
- 较少的侵入性手术,如注射激素或酸的喉腔整形,显示了声音加深的潜力.
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