1-Year Results of Combined Modified Wendler Glottoplasty with Voice Therapy in Transgender Women.
Laryngoscope
; 133(3): 615-620, 2023 03.
Article
em En
| MEDLINE
| ID: mdl-35634734
ABSTRACT
BACKGROUND:
To date, 1-year evaluation of pitch elevation in patients undergoing modified Wendler glottoplasty (WG) in combination with VT has not been assessed.OBJECTIVES:
To determine whether 1-year pitch elevation is sustained in patients who undergo modified WG in combination with VT for voice feminization.METHODS:
A retrospective review of patients who underwent WG in combination with voice therapy (VT) was performed from 2016 to 2020. Charts were reviewed for sustained vowel fundamental frequency (F0/a/), speaking fundamental frequency (SF0), and Trans Woman Voice Questionnaire (TWVQ) at preoperative, initial postoperative (3-6 months after surgery), and 12-month postoperative visits.RESULTS:
Change in average F0/a/, SF0 and TWVQ was 50.25 Hz, 32.96 Hz, and 32.6 at 12-months postoperatively compared to preoperative values. Initial and 12-month postoperative SF0 were significantly higher than preoperative SF0 (Mann-Whitney U test p = 0.0042, p = 0.0010). There was no difference in initial postoperative and 12-month postoperative SF0 (p = 0.50). TWVQ at 12 months was significantly lower than preoperative TWVQ (ANOVA p < 0.001, Tukey honestly significant difference HSD p < 0.05).CONCLUSIONS:
Pitch elevation remains sustained at one year in patients undergoing modified WG in combination with VT. Modified Wendler glottoplasty combined with VT results in relatively long-term improvements in voice-related quality of life and is possibly a beneficial addition in the long-term management of patients who desire voice feminization. LEVEL OF EVIDENCE 4 Laryngoscope, 133615-620, 2023.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Voz
/
Pessoas Transgênero
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article