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Gender Affirmation - Medical & Surgical Perspectives published by Thieme

Thieme published a chapter on Voice modification in "Gender Affirmation  Medical and Surgical Perspectives", edited by Christopher Salgado, Stan Monstrey and Miroslav Djordjevic. This chapter, from pages 31-50, covers several different approaches to modifying the male to female voice surgically. It has a complete set of photographs of Feminization Larynoplasty along with details about the surgical technique. The textbook is available from the publisher and on Amazon.com.

Vocal signature of a nodule

Vocal capabilities pattern matching is a group of voice elicitations for evaluation and documentation of phonatory ability and impairments of the human voice (hoarseness). Pitch and volume are varied while the examiner records the voice and notes when sound (the voice) is clear (harmonic) and at what pitch/volume combinations, voice is impaired. Secondly, the examiner notes how it is impaired – that is, which tasks generate breathiness, which generate roughness and which generate both qualities. Third, for further precision, the tones on which impairment occurs are noted.

I presented a short description of some of the work I am doing to modify the comfortable speaking pitch and pitch range of transgender individuals wishing to sound more feminine at the 23rd WPATH Symposium in Amsterdam, The Netherlands on July 20, 2016. It included thoughts on the five procedures currently utilized to alter pitch: Cricothyroid approximation (aka Thyroplasty Type I) Vocal cord webbing (aka " Vocal Fold Shortening with Anterior Commissure Advancement" or VFSAAC, Wendler Glottoplasty)

Villa Lo Zerbino, Genoa, Italy

An outstanding meeting just finished in Genoa, Italy for the 11th European Laryngological Society meeting hosted by president Giorgio Peretti on June 8-11. I found a bit of time to recap the meeting in photos. with the full set available for download on Flickr.  There were many great presentations. It was extremely educational, particularly the discussions between and after the meetings. Some members found time for recreation in the form of eating, swimming, singing and dancing. In particular, the evening spent up on the hill at the Villa Lo Zerbino was spectacular. See you in 2018.  

Vocal Capabilities Lecture

This short video was produced for the European Laryngology Society's meeting in Genoa, Italy. It was limited to 10 minutes and briefly covers the rationale behind listening to the voice in order to make a diagnosis.The premise is that it is necessary to alter pitch and volume while listening to the voice in order to establish the pattern which is characteristic and different for each type of voice disorder.

High Definition Laryngology Lecture

Lecture given at the 2016 European Laryngologic Society meeting on the topic of High-Definition Laryngology.Essentially I describe the way that a combination of technique and equipment lead to the most pixels on the pathology. The more pixels there are on the problem, the better the resolution and understanding of the person performing the diagnostic examination. The video equipment tends to be expensive. Indeed, at this conference Olympus has been showing their Ultrahigh definition 4K video, the setup which cost about $80,000.

Full moon over Dubai, mosque tower

My first impression of Dubai is the cosmopolitan life of the city. All colors and styles of clothing wind through the streets. English is the linga Franca, but feel free to speak Arabic if you desire. You can use Hindu, Tagalog, even French at times. 

An article in the Journal of the American Medical Association's Otolaryngology journal (The American Thyroid Association Guidelines on Voice Assessment-Have We Done Enough?) suggests that physicians performing thyroid surgery could improve their surgical outcomes if they examined the laryngeal function before and after surgery in the region of the laryngeal nerves.

Right bank of the Vltava River from Střelecký ostrov

We just wrapped up the excellent 3rd meeting of the Combined European OtoRhinoLaryngological Society (CEORL) in the city of Prague, Czech Republic. CEORL 2015    

High Definition Laryngology Lecture

My presentation at the 3rd CEORL conference in Prague, Czech Republicon 8 June 2015. It details my thoughts on how the combination of high technology and low technology, when merged, lead to a high definition examination of the larynx.