Male to female vocal surgery

Listen to a Lecture I delivered at HBGIDA symposium in Bologna, Italy on April 8, 2005 on the results of Feminization Laryngoplasty and a variation was given at Esprit 2005 in Port Angeles, Washington on May 19th.

I updated and expanded the lecture on both CTA and Feminization Laryngoplasty for the June 2005 34th Annual Voice Foundation Meeting. I plan to give or have given lectures this year (2009) at First Event, Boston; Colorado Gold Rush, Denver; Trans Event USA, Philadelphia, WPATH in Oslo and (Southern Comfort) Atlanta.

On 3/3/2009 I started with case 77 that I had follow up on and worked backwards including all consecutive cases I had follow up on. I will continue working backward from cas 66 as time permits. Not all are perfect.

Feminization laryngoplasty

This surgery, Feminization Laryngoplasty or FemLar removes the anterior portion of the voice box (thyroid cartilage) and shortens the vocal cords before putting the voice box back together. On the second and some subsequent cases I have added a thyrohyoid suspension (TH) depending on my preoperative assessment. The cases below are selected partially because I was able to follow them up with good voice recordings and they have had vocal outcomes that are very acceptable.

Here are the results of several procedures for you review.

Case 1 (2003) 43 yo (quicktime)

Case 4 (2004) 49 yo (quicktime)

Case 8 (2004) 56 yo (quicktime)

Case 24 (2005) 31 yo (quicktime)

Case 29 (2006) 50 yo (quicktime)

Case 31 (2006) 30 yo with previous failed cricothryroid approximation (quicktime)

Case 34 (2006) 44 yo (quicktime)

Case 38 (2006) 47 yo (quicktime) - reading before and 18 months later

Case 42 (2006) 50 yo (flash)

Case 63 (2008) 36 yo (quicktime)

Case 66 (2008) 48 yo smoker (quicktime)

Case 67 (2008) 57 yo (quicktime)

Case 68 (2008) 61 yo (quicktime)

Case 69 (2008) 53 yo (quicktime)

Case 70 (2008) 32 yo - reading before and 2 months later

Case 72 (2008) 23 yo (quicktime)

Case 74 (2008) 30 yo (quicktime)

Case 75 (2008) 28 yo (quicktime)

Case 76 (2008) 46 yo (quicktime)

Case 77 (2008) 38 yo (quicktime)

Laser voice tuning

I have started using a Pulsed Dye Laser in the office to tighten and tune up vocal cords. I don't know how long-lasting the results will be, but here are some of the first results.

Case 1 (2009) 57 yo previous thyrohyoid elevation (quicktime)

Case 74 (2008) 30 yo FemLar procedure complicated by infection - improved with laser voice tuning (quicktime)

Cricothryoid approximation

This surgery, Cricothyroid approximation tightens the open space between the cricoid cartilage and the thyroid cartilage.

I have put the results of four successful procedures up for review. These are selected cases and not in order.

Case 1 (2002) 46 yo

Case 2 (2001) 51 yo

Case 3 (2002) 55 yo

Case 4 (2004) 26 yo