Cricothyroid Approximation to Elevate Vocal Pitch in Male-to-Female Transsexuals: Results of Surgery

Yang, Caroline; Palmer, Andrew D.; Murray, Karen Drake; Meltzer, Toby R.; Cohen, James I.

doi:10.1177/000348940211100602

Cited by 46 publications

(72 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Possible surgical complications are unsatisfactory scarring, granulation, fi stula and differences in the level between the two vocal folds [21] , as well as trouble swallowing or choking on liquids, sore throat or discomfort in some patients [22] . Nonetheless, these surgical results combined with postoperative voice treatment seem to be satisfactory [20] , and the combined therapy is even essential [22] .…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Conservative Voice Treatment in Male-to-Female Transsexuals

Mészáros¹,

Vitéz²,

Szabolcs³

et al. 2005

Folia Phoniatr Logop

View full text Add to dashboard Cite

A voice assessment was performed before and after conservative voice treatment in 3 male-to-female transsexuals and in 2 nontreated transsexuals serving as control persons. The characteristics studied were voice quality, habitual speaking pitch, vocal pitch range, vocal intensity range, maximum phonation time and ‘communicative impairment’, a subjective self-estimation by the patient. Based on these parameters the Friedrich dysphonia index (DI) was calculated. The habitual speaking pitch of the 3 transsexuals who had received voice treatment became female, in contrast to that of the nontreated transsexuals, which remained in the so-called ‘indifferent pitch range’. The DI of the treated patients was close to the normal value, in contrast to the DI of controls, which continued to be pathological. Even based on this small population, study results reflected the effectiveness of voice therapy in transsexuals.

show abstract

Section: Introductionmentioning

confidence: 99%

Efficacy of Conservative Voice Treatment in Male-to-Female Transsexuals

Mészáros¹,

Vitéz²,

Szabolcs³

et al. 2005

Folia Phoniatr Logop

View full text Add to dashboard Cite

show abstract

“…These techniques have become the standard methods used to raise vocal pitch (Storck et al, 2011), especially in male to female transgender subjects (Yang et al, 2002).…”

Section: Surgical Alteration Of Fundamental Frequencymentioning

confidence: 99%

“…When the pathological condition resolves, a full pitch range is usually regained (Colton, et al, 2011). Some surgical procedures such as CT approximation (Yang, et al, 2002), CT fixation (Sataloff et al, 1992) and CT resection , may also decrease the highest attainable pitch and therefore the vocal range.…”

Section: Vocal Range and Voice Classification (Type)mentioning

confidence: 99%

“…The CT space decreases when singing higher pitches. Cricothyroid approximation surgery is used to elevate the speaking voice of transsexuals by reducing the CT space (Isshiki, et al, 1974;Isshiki, 1981;Isshiki et al, 1983;Isshiki, 1989;Neumann, et al, 2002;Yang, et al, 2002;Lawrence, 2004). Further, in excised larynges from cadavers, a nearly linear relationship exists between vocal pitch and CT distance (Kitajima, et al, 1979).…”

Section: Rationale For Studymentioning

confidence: 99%

“…For this reason it has become the standard procedure to raise vocal pitch (Storck, et al, 2011) especially in male to female transgender reassignments (Yang, et al, 2002). Theoretically, the procedure is reversible (Neumann, et al, 2002;Lawrence, 2004).…”

Section:  Cricothyroid Approximationmentioning

confidence: 99%

See 2 more Smart Citations

Relationship of the Cricothyroid Space with Vocal Range in Female Singers

Pullon

2017

Journal of Voice

View full text Add to dashboard Cite

Implementation of Patient-Reported Outcome Measures for Gender-Affirming Care Worldwide

et al. 2023

View full text Add to dashboard Cite

ImportanceGender-affirming care is a key clinical area that can benefit from implementation of patient-reported outcome measures (PROMs). Identifying barriers to and enablers of PROM implementation is needed to develop an evidence-based implementation strategy.ObjectiveTo identify (1) PROMs previously implemented for gender-affirming care and constructs measured, (2) how patients completed PROMs and how results were reported and used, and (3) barriers to and enablers of PROM implementation.Evidence ReviewIn this systematic review, PubMed, Embase, MEDLINE, PsycINFO, CINAHL, and Web of Science were searched from inception to October 25, 2021, and updated on December 16, 2022. Gray literature was searched through gray literature database, online search engine, and targeted website searching. Inclusion criteria were (1) original articles of (2) a formally developed PROM or ad hoc instrument administered for gender-affirming care to (3) patients accessing gender-affirming care. The Critical Appraisal Skills Programme tool was used to evaluate quality of included studies. This review was registered on PROSPERO (CRD42021233080).FindingsIn total, 286 studies were included, representing 85 395 transgender and nonbinary patients from more than 30 countries. A total of 205 different PROMs were used in gender-affirming care. No studies described using an implementation science theory, model, or framework to support PROM deployment. Key barriers to PROM implementation included issues with evidence strength and quality of the PROM, engaging participants, and PROM complexity. Key enablers of PROM implementation included using PROMs validated for gender-affirming care, implementing PROMs able to be deployed online or in person, implementing PROMs that are shorter and reduce patient burden, engaging key stakeholders and participants as part of developing an implementation plan, and organizational climate.Conclusions and RelevanceIn this systematic review of barriers to and enablers of PROM implementation in gender-affirming care, PROM implementation was inconsistent and did not follow evidence-based approaches in implementation science. There was also a lack of patient input in creating implementation strategies, suggesting a need for patient-centered approaches to PROM implementation. Frameworks created from these results can be used to develop evidence-based PROM implementation initiatives for gender-affirming care and have potential generalizability for other clinical areas interested in implementing PROMs.

show abstract

Cricothyroid Approximation to Elevate Vocal Pitch in Male-to-Female Transsexuals: Results of Surgery

Cited by 46 publications

References 28 publications

Efficacy of Conservative Voice Treatment in Male-to-Female Transsexuals

Efficacy of Conservative Voice Treatment in Male-to-Female Transsexuals

Relationship of the Cricothyroid Space with Vocal Range in Female Singers

Implementation of Patient-Reported Outcome Measures for Gender-Affirming Care Worldwide

Contact Info

Product

Resources

About