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Male to female vocal surgery - Feminization laryngoplasty: Case 48Brief History: 64 year old female. 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. |
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Pre Surgery |
5 months |
12 months |
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| Pitch: about B2 - low in male range (typical male speaking range about B2 - E3) | Pitch: about F3 (normal female speaking range about E3 - A3) This was recorded in another ENT's office. There is some echo. I have also heard the patient on the phone and her pitch can drop up to 3 semi-tones to a D3. |
Pitch: pending | |
| Pitch: about C2 (normal male low range varies C1 - C3) | Pitch: pending | ||
| Pitch: about E5 | Pitch: pending | ||
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Laryngoscopy |
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| Not uploaded |
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Stroboscopy | |||
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The surgeon’s comments: I removed about 40% of the anterior vocal cord. I did not reduce the size of the cartilage in this case for two reasons. She was not bothered by her Adam's Apple and I am beginning to develop the impression that very calcified cartilages do better the less I try to mobilize them. That is, when I remove cartilage, I have to bend the two sides together, so in this case there was no bending. She did develop a granuloma with hoarseness for several months that has now cleared by 6 months post operatively. |
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The patient’s comments: |
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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 15 October 2007 |