Transoral Feminizing Chondrolaryngoplasty: Development and Deployment of a Novel Approach in 77 Patients.

ABSTRACT

Importance Transgender patients who desire a gender-congruent neck contour may forego transcutaneous procedures due to the risk of neck scar stigmata related to such procedures. Objective: To describe the development and experience with the first 77 cases of a novel gasless transvestibular technique for gender-affirming surgery of the laryngeal prominence. Design, Setting, Participants: Video and narrative description of a novel surgical technique, and case series describing the consecutive first 77 patients to undergo transoral chondrolaryngoplasty (TCLP) at a quaternary transgender referral center. Results: Between November 2019 and April 2022, 77 patients underwent the novel surgery of TCLP. Median follow-up was 8.74 months (range 1-30 months). Four patients suffered surgical complications (two laryngotomy, two skin necrosis), and three patients requested revision surgery. Conclusions and Relevance TCLP is reported in the largest published series to date offering hidden incision for gender-affirming care. With further prospective outcome investigations, TCLP may prove to be a reliable approach of performing chondrolaryngoplasty while avoiding visible neck incisions.