Anterior Regions of the Neck

Janfaza, Parviz; Montgomery, William W.; Randolph, Gregory W.

doi:10.2307/j.ctvjf9vjb.18

Cited by 2 publications

(7 citation statements)

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“…At the 5th to 6th fetal week of life, the epiglottis is formed from the hypobranchial eminence (second and fourth branchial arch), and lateral to the laryngeal aditus, two mesenchymal bodies form the arytenoids from the ventral ends of the sixth arch. 7 From birth until puberty there is very little difference between the laryngeal cartilage of men and women. However, after puberty, the male larynx increases considerably in size, causing the thyroid cartilage to project more anteromedially.…”

Section: Anatomical Considerations/surgical Planningmentioning

confidence: 99%

“…The thyroid cartilage attaches superiorly to the hyoid bone via the thyrohyoid membrane, a broad fibroelastic sheet. 7 The infrahyoid region or the medial compartment of the neck extends from the hyoid bone superiorly down to the sternal notch inferiorly, and is located medial to the mesial borders of the sternocleidomastoid muscles. Underneath the overlying skin of this area is a layer of subcutaneous fat, beneath which lies the investing layer of the deep cervical fascia/platysma muscle, with the anterior jugular veins running superficial to it.…”

Section: Anatomical Considerations/surgical Planningmentioning

confidence: 99%

“…The muscles can be separated easily in the midline, to be retracted laterally during the laryngochondroplasty. 7 When planning the incision for the laryngochondroplasty, the incision should be as small as possible and as close to the cervicomental angle as possible for cosmesis ( Fig. 1).…”

Section: Anatomical Considerations/surgical Planningmentioning

confidence: 99%

“…The margins of the laryngotracheal groove unite to form the tracheoesophageal septum, separating the larynx and trachea from the esophagus. At the 5th to 6th fetal week of life, the epiglottis is formed from the hypobranchial eminence (second and fourth branchial arch), and lateral to the laryngeal aditus, two mesenchymal bodies form the arytenoids from the ventral ends of the sixth arch 7 …”

Section: Introductionmentioning

confidence: 99%

“…The Adam's apple (laryngeal prominence) is formed by two quadrangular laminae that unite anteriorly to form the thyroid notch. The thyroid cartilage attaches superiorly to the hyoid bone via the thyrohyoid membrane, a broad fibroelastic sheet 7 …”

Section: Introductionmentioning

confidence: 99%

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Evaluating Patient Benefit From Laryngochondroplasty

Tang

2020

The Laryngoscope

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Objectives/Hypothesis: To elucidate and review current literature on the surgical technique for laryngochondroplasty in male-to-female transgender patients. To determine the degree of benefit afforded to male-to-female transgender patients by laryngochondroplasty using the Glasgow Benefit Inventory (GBI). Study Design: Retrospective case series. Methods: After institutional review board approval was obtained, the GBI survey was given to patients who underwent laryngochondroplasty by the author. Demographic information was analyzed including age, race, wait time to surgery, distance traveled, median zip code income, and concomitant gender-affirming surgeries such as vaginoplasty, breast augmentation, or facial feminization. Results: From April 2016 to April 2020, 209 patients received laryngochondroplasty within the Kaiser Permanente Northern California Medical System. Of those, 91 received laryngochondroplasty with the author and were given the GBI, with 73 patients (80%) responding. Patients were on average 31.4 years old, traveled 45.4 miles to the surgical site, lived in a zip code with a median income of $86,793.61, and waited 95.7 days for surgery. Patients had a statistically significant improvement in all three subscores (general, social, and physical) of the GBI as well as in their overall score. Conclusions: Laryngochondroplasty is a safe and effective procedure to reduce thyroid cartilage prominence (Adam's apple) in male-to-female transgender patients. There was a statistically significant improvement in the overall score and all subscores of the GBI after laryngochondroplasty

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Section: Anatomical Considerations/surgical Planningmentioning

confidence: 99%

Section: Anatomical Considerations/surgical Planningmentioning

confidence: 99%

Section: Anatomical Considerations/surgical Planningmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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