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Male to female vocal surgery - Feminization laryngoplasty & ThyroHyoid elevation: Case 69

This 53 yo had practiced improving her female voice with courses for about 4 years before surgery.

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

3 months

1 year

Reading passage

Pitch is described relative to C4 or middle C on the piano.

 

Pitch: about D3 - mid-male range

(typical male speaking range about B2 - E3)

Pitch: about C4 - this was recorded on a casette tape

(normal female speaking range about E3 - A3)

Pitch: about

(normal female speaking range about E3 - A3)

Lowest pitch

   

Pitch: about F2 (normal male low range varies C1 - C3)

Pitch: about

(normal female low range varies between B2 - F3)

Pitch: about

Highest pitch

   

Pitch: about C5

Pitch: about

Pitch: about

Vegetative sounds

coughing & throat clearing

   

 

Yell

loud phonation

   

 

Laryngoscopy

Views

Stroboscopy

saying the sound /i/

Neck front view:

 

 

 

Neck profile view:

 

 

 

The surgeon’s comments:

I removed about 40% of her anterior vocal cords.

The patient’s comments:

3/9/'09 - "I havent been sired over the phone since the surgery and all of my friends are amazed at the improvement of my voice"

get quicktime 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 9 March 2009