Laryngeal Chondroplasty for Appearance

Wolfort, Francis G.; Parry, Richard G.

doi:10.1097/00006534-197510000-00001

Cited by 54 publications

(43 citation statements)

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“…The male larynx enlarges in size during puberty under hormonal influence. 19,20 The size of the thyroid cartilage enlarges and its anterior borders can be easily seen in males.…”

Section: Discussionmentioning

confidence: 99%

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Facial Feminization Surgery: A Review of 220 Consecutive Patients

Telang

2020

Indian J Plast Surg

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Background Facial feminization surgery (FFS) is a combination of facial bony and soft tissue surgeries designed to modify and convert a masculine face to feminine. One’s face plays a very central role in gender incongruence and FFS helps patients overcome this. There are prominent differences between the male and the female facial anatomy (bony and soft tissue) which can be surgically altered to change the visual perception of the face. Methods The author presents the method used at his center for treating 220 patients of gender incongruence requesting FFS from June 2016 to June 2019. The alterations to known methods of forehead contouring, hairline lowering, and jaw shave adopted by his team are discussed. He also presents the logic of performing the entire FFS in two stages at an interval of 7 to 10 days. Results A total of 220 cases of FFS are presented, along with surgical details of techniques used, the sequence and staging of procedures performed, and the results obtained. A two-staged approach to FFS is proposed to maximize the recovery and minimize complications and promote faster healing. Different methods of forehead contouring are also explained in detail. Conclusions FFS is a very rewarding surgery for the plastic surgeon and has high patient satisfaction rate. With proper training in craniomaxillofacial and soft tissue surgery, it is possible for the plastic surgeon to be the main team leader for this procedure. A two-stage approach is highly recommended.

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“…The male larynx enlarges in size during puberty under hormonal influence. 19,20 The size of the thyroid cartilage enlarges and its anterior borders can be easily seen in males.…”

Section: Discussionmentioning

confidence: 99%

“…The prominence of the male larynx or Adam's apple makes many patients request for a feminizing chondroplasty. 19,20 In my approach, I now take a submental incision and then tunnel down to the thyroid cartilages. I find that the submental scar is better concealed than a skin crease scar directly over the thyroid cartilage.…”

Section: Adam's Apple Shavementioning

confidence: 99%

Facial Feminization Surgery: A Review of 220 Consecutive Patients

Telang

2020

Indian J Plast Surg

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“…Laryngochondroplasty has been performed for over 40 years since Wolfort and Parry first described it in 1975. 1 It is a safe procedure, with excellent outcomes that greatly increase the patient's QOL and is of great benefit to them according to the GBI. Fig.…”

Section: Resultsmentioning

confidence: 99%

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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“…The efficacy and safety of this procedure in reducing Adam's apple prominence have been described previously but not with the use of fiberoptic identification of the level of the anterior commissure of the true vocal cords. 1,2 The safe and optimal completion of our described technique, devised by 1 of us ( J.H.S), requires collaboration by both surgeon and anesthesiologist. Results may be significant (Figure 5).…”

Section: Commentmentioning

confidence: 99%