Chondrolaryngoplasty
is a well-described surgical procedure most commonly performed as part of facial feminization surgery for transgender patients with a diagnosis of gender dysphoria. A complete understanding of relevant neck anatomy and laryngeal function is critical to optimizing surgical outcomes. The overall goal of the procedure is to maximally reduce the thyroid cartilage prominence while preserving laryngeal integrity and minimizing the risk of external scarring. Among available approaches, the bronchoscopic-assisted technique with intraoperative needle localization has been demonstrated to reliably lead to safe and effective surgica...
Source: Otolaryngologic clinics of North America - June 21, 2022 Category: ENT & OMF Authors: Christopher G. Tang, Peter M. Debbaneh, Andrew J. Kleinberger Source Type: research

Voice and Speech Training for the Transgendered Patient
Vocal dysphoria is present for many transgender individuals. Voice goals are defined by each individual client. Voice modification work can be challenging for both clinicians and clients, involving both direct and indirect aspects of intervention. The latter are likely to be less known to otolaryngologists but can form a significant part of clinical practice for experienced speech pathologists. Varying experience levels of treating clinicians can in turn have a bearing on the vocal outcomes achieved by clients. Those who do seek surgical assistance benefit from appropriate presurgery speech and language therapy evaluation ...
Source: Otolaryngologic clinics of North America - June 21, 2022 Category: ENT & OMF Authors: Christella Antoni Source Type: research

Sex-Related Characteristics of the Face
This article provides a framework for identification and analysis of sex-based differences in facial anatomy. This can then be used to guide individualized approaches to surgical planning to create greater congruence between patients ’ existing physical features and goals for gender expression. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 21, 2022 Category: ENT & OMF Authors: Arushi Gulati, P. Daniel Knott, Rahul Seth Source Type: research

Lip Lift
The perioral area can be an important feature to convey femininity, particularly when speaking and smiling. A feminine lip has a shorter distance between the nasal sill and the vermillion border, fullness of the vermillion, and a few millimeters of tooth show with the mouth slightly open. The keys to a good outcome are incision design that respects the natural anatomy, placing the tension of the lift deep to the dermis to take tension off of the skin incision, determining the appropriate amount of lift for the patient ’s anatomy, and not violating the orbicularis oris. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 21, 2022 Category: ENT & OMF Authors: Angela Sturm Source Type: research

Feminization Laryngoplasty - A Comprehensive Approach to Reducing the Size of the Larynx and Pharynx
Feminization Laryngoplasty evolved from the aim to change a voice from a male quality to a female quality. Larynx and pharynx in a male have undergone enlargement during puberty and as there is no endocrine method for shrinking structures, a surgery that reduces the size of male structures toward the size of female structures might appropriately alter the voice. A smaller larynx and pharynx might raise both the fundamental frequency of the voice and the resonant frequency of the vocal tract. The surgery is used for transgender individuals who desire a female voice, for individuals who fail speech therapy and for complicati...
Source: Otolaryngologic clinics of North America - June 21, 2022 Category: ENT & OMF Authors: James Phillip Thomas Source Type: research