Glotoplastia de Wendler y tratamiento logopédico en la feminización de la voz en transexuales: resultados de la valoración pre- vs. poscirugía

Casado, Juan Carlos Alcaide; O’Connor, Carlos; Angulo, María S.; Adrián, José

doi:10.1016/j.otorri.2015.02.003

Cited by 31 publications

(23 citation statements)

References 20 publications

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“…La prevalencia de la disforia de género es entre 3 y 4 veces más frecuente en transexuales de hombre a mujer (Cobeta & Mora, 2013). Un 75% de los transexuales son hombres que desean convertirse en mujeres (Casado, ÓConnor, Angulo, & Adrián, 2016)y muchos de ellos comentan que no son identificados como hombres hasta que hablan (Cobeta & Mora, 2013). Actualmente, el tratamiento de la disfonía tonal en pacientes transexuales de mujer a hombre, no suele ser otro que el tratamiento hormonal con andrógenos (testosterona), ya que, sus efectos sobre la laringe provocan el descenso de frecuencia fundamental (F0).…”

Section: La Feminización De La Vozunclassified

“…Con respecto a la terapia hormonal en transexuales femeninas, se ha comprobado que ni los estrógenos, ni los antiandrógenos tienen efectos biológicos sobre la laringe masculina (Casado et al, 2016;Cobeta & Mora, 2013;Gómez Gil & Esteva de Antonio, 2006;Le Huche & Allali, 2014). Por ello, este trabajo se centra exclusivamente en el tratamiento feminizante de la voz de transexuales de hombre a mujer.…”

Section: La Feminización De La Vozunclassified

“…En las pacientes transexuales, la valoración otorrinolaringológica, así como el tratamiento logopédico, suelen llevarse a cabo en las últimas fases de la transformación global de sexo y género (Casado et al, 2016;Cobeta & Mora, 2013). Sin embargo, pueden ser iniciados en etapas tempranas, de forma independiente a los tratamientos hormonales y/o quirúrgicos (Cobeta & Mora, 2013).…”

Section: Valoración Vocal En Las Pacientes Transexualesunclassified

“…Esto pueden realizarlo con una escala que permite puntuar estas valoraciones usualmente de 1 a 10, antes y después del tratamiento. Las escalas de valoración se utilizan como medida subjetiva del impacto emocional, físico y funcional de la propia voz en el paciente (Casado et al, 2016;Cobeta & Mora, 2013). El cuestionario más utilizado para la valoración de la voz es el Voice Handicap Index (VHI), en su versión adaptada a los pacientes transexuales: Transgender Self-Evaluation Questionnare (TSEQ).…”

Section: Valoración Vocal En Las Pacientes Transexualesunclassified

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Intervención logopédica en la feminización de la voz en transexuales: revisión bibliográfica

Gómez-Raya¹

2018

RLOG

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Resumen. La transexualidad es un trastorno en el cual entran en conflicto el sexo fisiológico y el género de una persona. Las personas transexuales sienten el deseo de pertenecer al sexo con el que realmente se identifican y esto les lleva a realizar ciertas acciones para cambiar su apariencia. La mujer transexual no alcanzará la feminización de su voz mediante el tratamiento hormonal, siendo sus opciones: la cirugía de las cuerdas vocales y/o la intervención logopédica. La presente revisión bibliográfica tiene como objetivo exponer aspectos relevantes y proporcionar información amplia sobre el trabajo logopédico en el tratamiento de la feminización de la voz, en transexuales de hombre a mujer, como intervención única, no complementaria a la intervención quirúrgica. Para llevar a cabo una revisión bibliográfica descriptiva se realiza la búsqueda de artículos científicos en las fuentes secundarias PubMed y Scopus. Utilizando una metodología cualitativa, se obtiene un listado de 25 artículos, en cada una, que se acota con filtros y criterios de inclusión y exclusión, dando como resultado una lista de 7 artículos finales. En cuanto a los resultados, todos los artículos concluyen con resultados positivos de la terapia vocal en mujeres transexuales, destacando especialmente los objetivos relativos al aumento de la frecuencia fundamental y al aumento de las frecuencias formantes. En conclusión, se halla información que demuestra que la terapia logopédica puede ser eficaz en la feminización de la voz en la población transexual. Sin embargo, el escaso número de artículos impide hacer generalizaciones universales. Palabras clave: transexual; feminización; voz; logopedia.[en] Speech therapy in the feminization of voice in transsexuals: bibliographic review Abstract. Transsexualism is a disorder in which the physiological sex and the gender of a person are mismatched. Transgender people feel the desire to belong to the sex with which they actually identify and this leads them to perform certain actions to change their appearance. The transsexual woman will not achieve the feminization of her voice through the hormonal treatment, being her options: vocal cords surgery and/or speech therapy intervention. The objective of this review is to expose relevant aspects and provide wide information on speech therapy work in the treatment of the feminization of the voice in transsexuals from man to woman as a single treatment not complementary to surgical intervention. To carry out a descriptive bibliographic review, the search for scientific articles in the secondary sources PubMed and Scopus are carried out. Using a qualitative methodology, a list of 25 articles is obtained from each of them. This is checked with filters and inclusion and exclusion criteria, resulting in a list of 7 final articles. * La presente revisión ha sido llevada a cabo gracias al apoyo y tutorización de Ana Lou Moreno, logopeda y profesora en la Fundación Universitaria del Bages. 1

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Section: La Feminización De La Vozunclassified

Section: Valoración Vocal En Las Pacientes Transexualesunclassified

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Intervención logopédica en la feminización de la voz en transexuales: revisión bibliográfica

Gómez-Raya¹

2018

RLOG

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“…Voice change accounted for 10% of the missing content. Casado, O’Connor, Angulo, and Adrián (2016) used the TVQ MTF as an assessment tool following a surgical procedure for voice feminization and voice-therapy treatment with a sample described as ten MTF transsexual individuals. The TVQ MTF was sensitive to change as scores increased following intervention.…”

Section: Review Of Measuresmentioning

confidence: 99%

A review of contemporary assessment tools for use with transgender and gender nonconforming adults.

Shulman

Holt

Hope

et al. 2017

Psychology of Sexual Orientation and Gender Diversity

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There is increasing recognition of the need for culturally sensitive services for individuals who identify as transgender or gender non-conforming (TGNC), and only recently have empirical studies appeared in the literature that inform best practices for TGNC people. Competent, culturally appropriate clinical services and research depend upon methodologically sound assessment of key constructs, but it is unclear whether appropriate self-report or clinician-rated assessment tools for adults exist. This paper reviewed existing published measures to identify areas of strength as well as existing gaps in the available research. The search strategy for this systematic review identified any published paper describing a self-report or clinician-rated scale for assessing transgender-related concerns. Each measure was reviewed for information on its scope, reliability, validity, strengths, limitations, and source. The majority of these questionnaires were developed with the TGNC communities and targeted important factors that affect quality of life for TGNC people. Limitations included limited evidence for validity, reliability, and sensitivity to change. Overall, the field is moving in the direction of TGNC-affirming assessment, and promising measures have been created to monitor important aspects of quality of life for TGNC people. Future research should continue to validate these measures for use in assessing clinical outcomes and the monitoring of treatment progress.

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

et al. 2023

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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.

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Glotoplastia de Wendler y tratamiento logopédico en la feminización de la voz en transexuales: resultados de la valoración pre- vs. poscirugía

Cited by 31 publications

References 20 publications

Intervención logopédica en la feminización de la voz en transexuales: revisión bibliográfica

Intervención logopédica en la feminización de la voz en transexuales: revisión bibliográfica

A review of contemporary assessment tools for use with transgender and gender nonconforming adults.

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

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