Pitch‐Raising Surgery in Fourteen Male‐to‐Female Transsexuals

Wagner, I.; Fugain, C; Monneron-Girard, Lucile; Cordier, B.; Chabolle, F.

doi:10.1097/00005537-200307000-00011

Cited by 47 publications

(60 citation statements)

References 22 publications

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“…Fourteen male-to-female transsexuals who underwent cricothyropexy ± anterior commisure advancement were described by Wagner et al in 2003. 8 Voice parameters were assessed using electroglottography and speech therapy evaluation. Eleven patients experienced an improvement in F 0 (range, 9-114 Hz) and 11 patients expressed satisfaction with the results.…”

Section: Introductionmentioning

confidence: 99%

Perception of Voice in the Transgender Client

McNeill¹,

et al. 2008

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Section: Introductionmentioning

confidence: 99%

Perception of Voice in the Transgender Client

McNeill¹,

et al. 2008

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“…Studies have demonstrated the importance of speech-therapy services to transgender/transsexual individuals (Carew, Dacakis, & Oates, 2007;Davies & Goldberg, 2008;Hooper & Hershberger, 2012;McNeill, 2006;Pitts et al, 2009;Soderpalm, Larsson, & Almquist, 2004;Wagner, Fugain, Monneron-Girard, Cordier, & Chabolle, 2003). Some authors believe that an increase in awareness in the scope of practice of speech-language pathology among the LGBT population will result in an increase in the awareness of speech services and referrals from physicians (Soderpalm et al, 2004).…”

mentioning

confidence: 99%

A Survey of the Awareness of Speech Services Among Transgender and Transsexual Individuals and Speech-Language Pathologists

Sawyer

Perry

Dobbins-Scaramelli³

2014

International Journal of Transgenderism

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This study evaluated (a) educational background, experience, and confidence among speech-language pathologists in providing services to transgender individuals and (b) awareness of transgender speech services among the lesbian, gay, bisexual, and transgender population. Two anonymous surveys were sent to practicing speech-language pathologists and transgender participants in Illinois; 228 speech-language pathologists and 88 transgender participants responded. A majority of speech-language pathologists indicated that providing services to transgendered individuals was within their scope of practice but felt improperly prepared to provide assessment and treatment. Almost half of the transgender individuals were unaware of speech and language services to address their needs during transition.

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“…Fig. 3 Mean F0 before and after surgery for vowel/a/ and text After cricothyroid approximation, the level of satisfaction ranges from 55 to 78 % [14,15]. Systematic evaluation of the satisfaction of M to F transgenders who underwent Wendeler's technique, or its modification has been usually done by applying the VHI questionnaire [7,8] We observed a mean VHI total score after procedure of 32, which is better than that found in previous studies, but remaining far from normal.…”

Section: Discussionmentioning

confidence: 99%

Long-term outcome of endoscopic shortening and stiffening of the vocal folds to raise the pitch

Geneid

Rihkanen

Kinnari

2015

Eur Arch Otorhinolaryngol

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In this study, we aimed to assess the long-term effects of the mucosal layer plastic surgery of the vocal folds performed on the voices of male-to-female transgenders. This retrospective cohort study enrolled 22 patients who were operated during 2004-2010 by a combined technique of transmucosal anterior suturing and stiffening of the vocal folds through a longitudinal cordotomy incision using CO2 laser. Long-term effects were assessed based on completed questionnaires on four different categories including subjective evaluation of patient's own voice perception and a standardized voice inventory (VHI), as well as an acoustic assessment and videolaryngoscopic examination. Out of the 22 patients contacted, 16 returned the questionnaires, and 13 of them participated in the subsequent acoustic analysis and videolaryngoscopic assessment. Results of the study were as follows: The total VHI score, after the procedure, was 32. F0 increased significantly for both the vowel/a/ and text from 157 to 207 Hz and 139 to 162 Hz, respectively. Perturbation measures did not show a significant change. F0 did not correlate with the VHI score. One patient had symptomatic anterior perforation that needed re-operation. The combination of transmucosal anterior suturing and stiffening of the vocal folds by laser cordectomy results in significant elevation of the F0 in the long term and in acceptable levels of VHI score compared to other reports. In conclusion, the results of the procedures show that it is enough to get the mucosal edges sutured together without the need to suture either the ligaments or the muscle of the vocal folds. The need for revision is minimal with this procedure.

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Pitch‐Raising Surgery in Fourteen Male‐to‐Female Transsexuals

Abstract: Pitch-raising surgery induces subjective and objective improvements but should be reserved for patients in whom speech therapy is not sufficiently effective.

Cited by 47 publications

References 22 publications

Perception of Voice in the Transgender Client

Perception of Voice in the Transgender Client

A Survey of the Awareness of Speech Services Among Transgender and Transsexual Individuals and Speech-Language Pathologists

Long-term outcome of endoscopic shortening and stiffening of the vocal folds to raise the pitch

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