Wendler Glottoplasty and Voice-Therapy in Male-to-Female Transsexuals: Results in Pre and Post-Surgery Assessment

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

doi:10.1016/j.otoeng.2015.02.003

Cited by 18 publications

(31 citation statements)

References 21 publications

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“…Thirteen studies were included in the meta-analysis. 3,5-13,15,30,31 Ten of the studies were retrospective chart reviews and 3 of the studies were prospective case series. There were a total of 518 patients in these 13 studies.…”

Section: Resultsmentioning

confidence: 99%

“…An endoscopic shortening technique was studied in 6 of the 13 studies and comprised 393 patients. 3,11-13,30,31 There were 6 studies in the CTA group, which included 104 patients. 5-10 There were 2 studies in the laser reduction glottoplasty group.…”

Section: Resultsmentioning

confidence: 99%

“…The 29 abstracts identified in the search were read in full by both authors. 3-31 Each author then independently decided whether a study should be included or excluded from the study. There were no cases of disagreement between the authors regarding which studies met inclusion criteria.…”

Section: Methodsmentioning

confidence: 99%

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Transgender Phonosurgery: A Systematic Review and Meta‐analysis

Song

Jiang

2017

Otolaryngol.--head neck surg.

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Objectives Different surgical techniques have been described in the literature to increase vocal pitch. The purpose of this study is to systematically review these surgeries and perform a meta-analysis to determine which technique increases pitch the most. Data Sources CINAHL, Cochrane, Embase, Medline, PubMed, and Science Direct. Review Methods A systematic review and meta-analysis of the literature was performed using the CINAHL, Cochrane, Embase, Medline, PubMed, and Science Direct databases. Studies were eligible for inclusion if they evaluated pitch-elevating phonosurgical techniques in live humans and performed pre- and postoperative acoustic analysis. Data were gathered regarding surgical technique, pre- and postoperative fundamental frequencies, perioperative care measures, and complications. Results Twenty-nine studies were identified. After applying inclusion and exclusion criteria, a total of 13 studies were included in the meta-analysis. Mechanisms of pitch elevation included increasing vocal cord tension (cricothyroid approximation), shortening the vocal cord length (cold knife glottoplasty, laser-shortening glottoplasty), and decreasing mass (laser reduction glottoplasty). The most common interventions were shortening techniques and cricothyroid approximation (6 studies each). The largest increase in fundamental frequency was seen with techniques that shortened the vocal cords. Preoperative speech therapy, postoperative voice rest, and reporting of patient satisfaction were inconsistent. Many of the studies were limited by low power and short length of follow-up. Conclusions Multiple techniques for elevation of vocal pitch exist, but vocal cord shortening procedures appear to result in the largest increase in fundamental frequency.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Transgender Phonosurgery: A Systematic Review and Meta‐analysis

Song

Jiang

2017

Otolaryngol.--head neck surg.

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“…In addition to these procedures, the systematic review showed that other studies using surgical intervention performed over the past 10 years to increase the f0 in transsexual women were not included in the metaanalysis because they did not have a control group. The surgical procedures included cricothyroid approximation and subluxation, 4 laser-assisted voice adjustment, 7 Wendler glottoplasty, 25 anterior glottic web formation assisted by temporary injection augmentation, 26 a combined technique of transmucosal anterior suturing and stiffening of the vocal folds through a longitudinal cordotomy incision using a CO2 laser, 15 Wendler glottoplasty and voice therapy, 27 and cricoid-thyroid approximation. 28 This study also highlighted that at the presurgical time (Table IV), none of the studies had an EG (experimental group) with f0 within the range considered female (150-250 Hz), except the CG (control group) of one study that was composed of cis-sexual women.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2017

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“…This technique may effectively remove the entire cricothyroid membrane and space. 61,62 Anterior commissure advancement (Fig. 2) involves incision of the thyroid cartilage at the level of the anterior commissure and insertion of an implant.…”

Section: Open Surgerymentioning

confidence: 99%

Perioperative considerations for transgender women undergoing routine surgery: a narrative review

Lennie

Leareng

Evered

2020

British Journal of Anaesthesia

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A transgender woman is a person assigned male sex at birth who identifies as a woman. With the numbers of transgender identity on the rise, encountering a transgender woman requiring routine surgery is becoming more common in anaesthetic practice. The perioperative period can be challenging for transgender women, but these challenges can be mitigated by a skilled and sensitive perioperative team. Engagement with patients and their primary physicians is important. Whilst there are anaesthetic issues relevant to both transgender women and men, there are many issues unique to transgender women. This article focuses only on considerations for the perioperative care of the transgender woman. This narrative review provides an overview of the factors influencing the safe care of the transgender woman presenting for routine surgery, including the potential social and pharmacological factors to consider, and anatomical changes to be aware of from previous gender confirming or feminisation surgeries that can influence clinical decisionmaking.

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Wendler Glottoplasty and Voice-Therapy in Male-to-Female Transsexuals: Results in Pre and Post-Surgery Assessment

Cited by 18 publications

References 21 publications

Transgender Phonosurgery: A Systematic Review and Meta‐analysis

Transgender Phonosurgery: A Systematic Review and Meta‐analysis

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

Perioperative considerations for transgender women undergoing routine surgery: a narrative review

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