Audio (before-and-after)

Presently this page is limited to audio examples of pitch surgeries. All of the "Before" recordings were made with professional equipment in my office. Many of the "After" recordings were made over the telephone or on the patient's computer and this will affect the audio quality.

Use the links on the right to filter your search | Reset filter
Use the patient age drop-down to select age(s) to filter by.

Feminization laryngoplasty with thyrohyoid elevation
0020 Before and after voice recording
Age: 52
male-to-female
Prior voice surgery: None
Year of surgery: 2006
Follow up (in months): 15
Dr. Thomas' comments:

Her initial surgery was complicated by an infection and a temporary tracheostomy. She had revision surgery with only slight improvement. Looking back 5 years later at her video recording her voice would be improved with a laser vocal cord tightening which I was not doing at that time.

Feminization laryngoplasty with thyrohyoid elevation
0026 Before and after voice recording
Age: 50
male-to-female
Prior voice surgery: None
Year of surgery: 2006
Follow up (in months): 55
Dr. Thomas' comments:

Her vocal pitch was improved after the feminization laryngoplasty surgery, but was somewhat rough and had a very low volume. She continues to smoke cigarettes. She had a laser tuneup which smoothed her voice out and improved the volume she estimates by about 30%. She still puts slight effort into her voice when speaking on the phone but it is perceived as a female. However, she still has trouble competing with background noise.

Feminization laryngoplasty with thyrohyoid elevation
0040 Before and after voice recording
Age: 50
male-to-female
Prior voice surgery: None
Year of surgery: 2007
Follow up (in months): 1
Feminization laryngoplasty with thyrohyoid elevation
0044 Before and after voice recording
Age: 57
male-to-female
Prior voice surgery: None
Year of surgery: 2008
Follow up (in months): 16
Feminization laryngoplasty with thyrohyoid elevation
0046 Before and after voice recording
Age: 53
male-to-female
Prior voice surgery: None
Year of surgery: 2008
Follow up (in months): 13
Feminization laryngoplasty with thyrohyoid elevation
0059 Before and after voice recording FemLar & Laser tune up
Age: 55
male-to-female
Prior voice surgery: None
Year of surgery: 2009
Follow up (in months): 43
Dr. Thomas' comments:

She initially had a rough voice after her feminization laryngoplasty. She has had two laser touchup procedures, the most recent being 15 months prior to this recording. This has brought her pitch up although she still has a few notes that are diplophonic. The laser procedures have reduced the amount of diplophonia and have made it easier for her to speak. She principally experiences the diplophonia when she gets loud or if she gets tired. She still has some air leak since the vocal cords do not come completely together.

Patient's comments:

She says that she is highly satisfied since the second laser procedure and can work around the diphony.

Feminization laryngoplasty with thyrohyoid elevation
0060 Feminization Laryngoplasty at 37 months
Age: 54
male-to-female
Prior voice surgery: None
Year of surgery: 2009
Follow up (in months): 37
Dr. Thomas' comments:

Before Feminization Laryngoplasty, she worked on her voice for about 3-4 years with a voice therapist specializing in transgender voice. She felt that she still could not accomplish a female voice and was almost always called "sir" on the phone. While she had a previous Tracheal shave before the feminization laryngoplasty, she had no complications with her voice at that time.

She came back for a follow-up at 3 years after her surgery to have a laser tuneup, the results of which are still pending and we were able to do a long-term follow-up recording.

Patient's comments:

"it (feminization laryngoplasty) was the most important part of my gender reassignment surgeries. It helped me to be able to laugh. It was really spectacular and lifted a weight off of me. I'm perceived as a female about 95% of the time on the radio or phone."

Feminization laryngoplasty with thyrohyoid elevation
0063 Before and after voice recording
Age: 55
male-to-female
Prior voice surgery: Cricothyroid approximation, Microlaryngoscopy with LAVA
Year of surgery: 2009
Follow up (in months): 22
Feminization laryngoplasty with thyrohyoid elevation
0073 Before and after voice recording
Age: 52
male-to-female
Prior voice surgery: Cricothyroid approximation
Year of surgery: 2010
Follow up (in months): 21
Feminization laryngoplasty with thyrohyoid elevation
0078 Before and after voice recording
Age: 54
male-to-female
Prior voice surgery: None
Year of surgery: 2012
Follow up (in months): 1