|
Male to female vocal surgery - Feminization laryngoplasty & ThyroHyoid elevation: Case 63This 36 yo has been living full time for a year, off and on for 7 years. In person, perception of feminity is mixed and on the phone she is always called sir. She has done a lot of vocal training. These recordings are set to a fairly low resolution for the internet but do demonstrate the general sound and function of the vocal cords before and after this case of laryngeal reduction surgery. Much more detail is actually visible in the office. The videos when shown are oriented with the front down and the left vocal fold is on the right of the video. Orientation is discussed here. Please note: These examples of possible results should not be construed to represent what will be acheived in any other patient. Thus there are several examples of patients on the site There are many components to a voice exam. I have selected ones here that I feel change the most with this type of surgery. |
Pre Surgery |
7 months |
|
||
Reading passagePitch is described relative to C4 or middle C on the piano. |
||||
|
Pitch: about E3 - mid-male range (typical male speaking range about B2 - E3)
Her best effort is about G3 |
Pitch: about G3 - about 3 notes higher (normal female speaking range about E3 - A3) |
Pitch: about (normal female speaking range about E3 - A3) |
||
Lowest pitch |
||||
|
Pitch: about D3# (normal male low range varies C1 - C3) |
Pitch: about F3 (normal female low range varies between B2 - F3) |
Pitch: about |
||
Highest pitch |
||||
|
Pitch: about G4# |
Pitch: about E5 |
Pitch: about |
||
Vegetative soundscoughing & throat clearing |
||||
|
|
|
|||
Yellloud phonation |
||||
|
|
||||
LaryngoscopyViews |
||||
![]() |
||||
Stroboscopysaying the sound /i/ |
||||
| Neck front view: |
|
|||
| Neck profile view: |
|
|||
| The surgeons comments: |
I removed about 50% of her anterior vocal cords. |
|||
| The patients comments: |
April 7 2009: Dr. Thomas will be forever in my mind, because my voice was my biggest concern, and with his innovatory surgery I can say that he saved my life! |
|||
| If you are unable to see the movies, then you may not have the quicktime plugin. You will need to download and install Quicktime to view these video clips. The plug in is available for free download at apple. QuickTime and the QuickTime Logo are trademarks of Apple Computer, Inc., registered in the U.S. and other countries. | ||
Contact the author: James P. Thomas, MD
please feel free to comment to me on whether this page is helpful or what could be improved. Updated 6 March 2009 |