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.

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Feminization laryngoplasty with thyrohyoid elevation
132 Before and After FemLar & TH & KTP
Age: 61
male-to-female
Prior voice surgery: None
Year of surgery: 2015
Follow up (in months): 10
Dr. Thomas' comments:

She had two KTP laser tunings after Feminization Laryngoplasty to smooth out an initially rough voice. She does smoke cigarettes. We are going to perform another laser tune up in the near future.

Laser cord reduction
1024 Transgender female with a previous CTA that had faded
Age: 63
male-to-female
Prior voice surgery: Cricothyroid approximation, Microlaryngoscopy with LAVA
Year of surgery: 2011
Follow up (in months): 7
Dr. Thomas' comments:

She had a cricothyroid approximation about 10 years ago after which her voice fell back to its original pitch within a few months. She then had a LAVA procedure which helped for a period of time although she feels that this was also only a temporary improvement. The before voice in this recording is after these two surgeries.

Feminization laryngoplasty
0003 Before and after voice recording
Age: 60
male-to-female
Prior voice surgery: Cricothyroid approximation
Year of surgery: 2004
Follow up (in months): 32
Feminization laryngoplasty with thyrohyoid elevation
0021 Before and after voice recording
Age: 69
male-to-female
Prior voice surgery: None
Year of surgery: 2006
Follow up (in months): 11
Feminization laryngoplasty
0028 Before and after voice recording
Age: 63
male-to-female
Prior voice surgery: None
Year of surgery: 2007
Follow up (in months): 1
Feminization laryngoplasty with thyrohyoid elevation
0045 Before and after voice recording
Age: 61
male-to-female
Prior voice surgery: None
Year of surgery: 2008
Follow up (in months): 52
Feminization laryngoplasty with thyrohyoid elevation
0055 Before and after voice recording
Age: 63
male-to-female
Prior voice surgery: None
Year of surgery: 2009
Follow up (in months): 5
Feminization laryngoplasty with thyrohyoid elevation
0077 Before and after voice recording
Age: 62
male-to-female
Prior voice surgery: None
Year of surgery: 2010
Follow up (in months): 21
Dr. Thomas' comments:

She says that the surgery has changed her life. She is called "ma'am" on the telephone 100% of the time. She has not done any voice therapy. Occasionally she detects a roughness in her voice at the end of the day or if she tries to yell. Her volume is less than it used to be.

Feminization laryngoplasty with thyrohyoid elevation, Laser cord reduction
0079 CTA, Feminization laryngoplasty and laser vocal cord debulking
Age: 61
male-to-female
Prior voice surgery: Cricothyroid approximation
Year of surgery: 2011
Follow up (in months): 22
Dr. Thomas' comments:

She had a cricothyroid approximation about 10 years before her first visit which helped for awhile and then her voice faded in pitch and quality. She then had a thyrohyoid elevation which did not change her pitch. 10 years after the thyrohyoid elevation she had a limited feminization laryngoplasty. About 18 months later she had a microlaryngeal laser debulking procedure. Her initial voice recording is after the cricothyroid approximation since that is when I met her and her most current recording is two months after her laser procedure, approximately 2 years after her feminization laryngoplasty.