Wendler Glottoplasty: An Effective Pitch Raising Surgery in Male-to-Female Transsexuals

Mastronikolis, Nicholas; Remacle, Marc; Biagini, Michela; Kiagiadaki, Debora; Lawson, Georges

doi:10.1016/j.jvoice.2013.04.004

Cited by 75 publications

(154 citation statements)

References 19 publications

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“…The F0 of vowel/a/ (207 Hz) after surgery comes in accordance with previous studies and expectations in which the level of F0 after surgery was 190-240 Hz [16][17][18]. F0 of text after surgery was lower than expected (162 Hz) compared to the results of feminization laryngoplasty by Thomas and MacMillan (196 Hz) [10].…”

Section: Discussionsupporting

confidence: 89%

“…This percentage of revision (7 %) is similar to that reported from the Wendler technique (10 %) [17].…”

Section: Discussionsupporting

confidence: 85%

“…Remacle et al [16] found that VHI scores prior to and post surgery were 45.5, and 42, respectively. Another study (N = 31) also documented quite similar, poor scores before surgery (47) and even worse (54) after it [17]. Orloff et al [9] examined the VHI scores postoperatively (N = 13) having used a method to stiffen the vocal folds by CO2 laser scarring; they observed a mean VHI score of 51.…”

Section: Discussionmentioning

confidence: 90%

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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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Section: Discussionsupporting

confidence: 89%

“…This percentage of revision (7 %) is similar to that reported from the Wendler technique (10 %) [17].…”

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

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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“…Surgical therapies including cricothyroid approximation, anterior glottal web formation and laser reduction glottoplasty are the most popular techniques for this purpose. All of these procedures can be successfully used in combination with voice therapy [10, 13-15]. The FFs of voice are also known to provide information about gender [4].…”

Section: Discussionmentioning

confidence: 99%

“…Past reports have found F0 levels to increase by roughly 100 Hz [10, 13-15] after surgery. Our patients’ median F0 levels increased from 139.1 Hz (preoperative) to 235.4 Hz (postoperative).…”

Section: Discussionmentioning

confidence: 99%

An Examination of Vocal Tract Acoustics following Wendler’s Glottoplasty

Paltura

Yelken

2018

Folia Phoniatr Logop

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Purpose: To investigate the formant frequency (FF) features of transgender females’ (TFs) voice after Wendler’s glottoplasty surgery and compare these levels with age-matched healthy males and females. Study Design: Controlled prospective. Methods: 20 TFs and 20 genetically male and female age-matched healthy controls were enrolled in the study. The fundamental frequency (F0) and FFs F1–F4 were obtained from TF speakers 6 months after surgery. These levels were compared with those of healthy controls. Results: Statistical analysis showed that the median F0 values were similar between TFs and females. The median F1 levels of TFs were different from females but similar to males. The F2 levels of TFs were similar to females but different from males. The F3 and F4 levels were significantly different from both male and female controls. Conclusion: Wendler’s glottoplasty technique is an effective method to increase F0 levels among TF patients; however, these individuals report their voice does not sufficiently project femininity. The results obtained with regard to FF levels may be the reason for this problem. Voice therapy is recommended as a possible approach to assist TF patients achieve a satisfactory feminine voice.

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Laryngeal surgical treatment in transgender women: A systematic review and meta‐analysis

et al. 2017

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Wendler Glottoplasty: An Effective Pitch Raising Surgery in Male-to-Female Transsexuals

Cited by 75 publications

References 19 publications

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

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

An Examination of Vocal Tract Acoustics following Wendler’s Glottoplasty

Laryngeal surgical treatment in transgender women: A systematic review and meta‐analysis

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