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
0138 Before and After voice recording
Age: 52
male-to-female
Prior voice surgery: None
Year of surgery: 2015
Follow up (in months): 5
Dr. Thomas' comments:

She had a KTP laser tuneup three months after her feminization laryngoplasty. Her volume is limited. Her voice improved after the laser treatment allowing her to sing karaoke better.

Feminization laryngoplasty with thyrohyoid elevation
138 Before and after
Age: 52
male-to-female
Prior voice surgery: None
Year of surgery: 2015
Follow up (in months): 2
Dr. Thomas' comments:

It is a home recording of the after voice, but very smooth at two months after Feminization Laryngoplasty.

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 with thyrohyoid elevation
0017 Before and after voice recording
Age: 50
male-to-female
Prior voice surgery: None
Year of surgery: 2006
Follow up (in months): 2
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.