Chondrolaryngoplasty for Appearance

Wolfort, Francis G.; Dejerine, Erik Sorrel; Ramos, Douglas Jhon; Parry, Richard G.; Edgerton, Milton T.

doi:10.1097/00006534-199009000-00013

Cited by 8 publications

(11 citation statements)

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“…However, when it became obvious that our patients invariably wanted a maximum rise, the advantage of local anesthesia was no longer relevant. In case of a distinct laryngeal prominence, Wolfort's chondrolaryngoplastic procedure, which requires a cervical incision, may be performed during the procedure, since approximation of the cricoid and thyroid cartilages does not cause a significant problem [21]. A big Adam's apple is a further male attribute causing psychological strain.…”

Section: Discussionmentioning

confidence: 99%

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Operative voice pitch raising in male-to-female transsexuals

Neumann

Welzel

Berghaus

2002

European Journal of Plastic Surgery

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After changing the primary sex characteristics, voice raising should be included in the concept of maleto-female sex transformation. Hormonal treatment is not able to raise the pitch, and speech therapy alone cannot, as a rule, guarantee lasting success. Since 1993, a modified cricothyroidopexy via miniplates, using Isshiki's technique, has been performed at the Ear, Nose, and Throat (ENT) Department of the Martin-Luther University of Halle-Wittenberg. This procedure is based upon an approximation of the cricoid and thyroid cartilages, resulting in an increase in vocal cord tension. Combined with chondrolaryngoplasty, it allows a reduction of the laryngeal prominence. So far, 59 patients have undergone this surgical intervention. Laryngoscopy and detailed voice studies, in addition to ultrasonic computer tomographic examinations of the larynx are performed pre-and postoperatively in order to record the anatomical, physiological, and functional data. So far, good functional results have been achieved, showing an average rise in the fundamental frequency by approximately five semitones.

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Section: Discussionmentioning

confidence: 99%

“…This method avoids interference with the inner structures of the larynx and can be reversed. The typical male laryngeal prominence is decreased using the chondroplastic procedure of Wolfort et al [21]. In this procedure, a strip of cartilage is excised in the area of the upper laryngeal prominence prior to the cricothyroidopexy (Fig.…”

Section: Methodsmentioning

confidence: 99%

Operative voice pitch raising in male-to-female transsexuals

Neumann

Welzel

Berghaus

2002

European Journal of Plastic Surgery

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“…Care is taken to avoid entering the thyrohyoid membrane. 18 Rongeurs are used to nibble away the prominence and the superior aspects of the laminae until a satisfactory reduction and appearance is achieved ( Fig. 14a and b).…”

Section: Thyroid Shave (Chondrolaryngoplasty)mentioning

confidence: 99%

Facial feminization surgery: current state of the art

Altman

2012

International Journal of Oral and Maxillofacial Surgery

153

150

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“…Zur Verkleinerung der Prominentia laryngis kann die cricothyroidale Approximation mit einer Chondrolaryngoplastik nach Wolfort [24] …”

Section: Chondrolaryngoplastikunclassified

“…Die durch Wolfort beschriebene Chondrolaryngoplastik -die ohne eine Halsinzision nicht auskommt -kann ohne nennenswerten technischen Mehraufwand bei ausgeprägter Prominentia laryngis in gleichem Eingriff mit der Approximation von Ring-und Schildknorpel vorgenommen werden [24]. Ein großer Adamsapfel als weiteres männliches Erkennungsmerkmal belastet die betreffenden Patientinnen psychisch zusätzlich sehr stark, sodass eine Larynxreduktionsplastik bei bestehender Operationsindikation und bestehendem Operationswunsch immer mit in die Operationsplanung einbezogen werden sollte.…”

Section: Operations-und Narkoseplanungunclassified