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
131 Before and After
Age: 22
male-to-female
Prior voice surgery: Cricothyroid approximation
Year of surgery: 2015
Follow up (in months): 5
Dr. Thomas' comments:

She had a cricothyroid approximation 2 year earlier. Her voice was initially very high, but then fell back to a lower pitch. So her "before voice" in this recording is after a cricothyroid approximation and her after voice is 5 months after the Feminization Laryngoplasty.

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
0004 Before and after voice recording
Age: 41
male-to-female
Prior voice surgery: Cricothyroid approximation, Microlaryngoscopy with LAVA, Microlaryngoscopy with web glottoplasty
Year of surgery: 2004
Follow up (in months): 22
Dr. Thomas' comments:

She initially had a complication from a Trach shave where her pitch dropped. She then had several procedures trying to correct this including cricothyroid approximation, vocal cord webbing and a laser procedure. Her initial voice is after all of these procedures.

Feminization laryngoplasty
0008 Before and after voice recording
Age: 48
male-to-female
Prior voice surgery: Cricothyroid approximation
Year of surgery: 2005
Follow up (in months): 35
Dr. Thomas' comments:

She had a previous cricothyroid approximation which raised her pitch slightly. The "before" recording here is after the cricothyroid approximation surgery. Between the 2 surgeries she had some improvement in pitch.

Feminization laryngoplasty with thyrohyoid elevation
0015 Before and after voice recording
Age: 56
male-to-female
Prior voice surgery: Cricothyroid approximation
Year of surgery: 2006
Follow up (in months): 64
Dr. Thomas' comments:

She had a previous cricothyroid approximation that did not improve her voice. She was again not much improved after the feminization laryngoplasty with a thyrohyoid elevation.

Feminization laryngoplasty
0019 Before and after voice recording
Age: 30
male-to-female
Prior voice surgery: Cricothyroid approximation
Year of surgery: 2006
Follow up (in months): 73
Feminization laryngoplasty
0033 Before and after voice recording
Age: 33
male-to-female
Prior voice surgery: Cricothyroid approximation, Microlaryngoscopy with web glottoplasty
Year of surgery: 2007
Follow up (in months): 38
Feminization laryngoplasty
0054 Before and after voice recording
Age: 36
male-to-female
Prior voice surgery: Cricothyroid approximation
Year of surgery: 2008
Follow up (in months): 15
Feminization laryngoplasty with thyrohyoid elevation
0058 Before and after voice recording
Age: 46
male-to-female
Prior voice surgery: Cricothyroid approximation
Year of surgery: 2009
Follow up (in months): 21