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.

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
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
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, 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.

Feminization laryngoplasty with thyrohyoid elevation
0104 Feminization Laryngoplasty after failed CTA
Age: 32
male-to-female
Prior voice surgery: Cricothyroid approximation
Year of surgery: 2012
Follow up (in months): 2
Dr. Thomas' comments:

She had a previous CTA (cricothyroid approximation) and tracheal shave by another physician. She reports that her voice was higher for one day after that surgery and then she says her voice pitch returned to her male voice.

On my examination, she could not produce any notes below D3 when I first met her, so it is possible that the previous CTA had truncated some of her lower range although it did not affect her comfortable speaking pitch.

At two months after Feminzation Laryngoplasty surgery, she is very pleased and finds it comfortable to speak at a fairly high pitch. With effort she can still produce a sound at D3# (a typical low note for many genetic females). She has some falsetto quality to her speaking voice after the surgeries. This might be from the prior cricothyroid approximation remaining intact. It will be interesting to see what further time brings.