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
0090 Before and after voice recording
Age: 48
male-to-female
Prior voice surgery: None
Year of surgery: 2011
Follow up (in months): 8
Feminization laryngoplasty with thyrohyoid elevation
0092 Feminization Laryngoplasty Before and After
Age: 55
male-to-female
Prior voice surgery: None
Year of surgery: 2011
Follow up (in months): 12
Dr. Thomas' comments:

She was always called "Sir" before surgery. She had a previous trach shave without complications. I have offered to perform a laser touchup to bring her up one or two more notes, but she is happy where her voice is.

Patient's comments:

I'm definitely perceived as a female except when dealing with the government and my birth records. I'm happy the way my voice is presently.

Feminization laryngoplasty with thyrohyoid elevation
0097 Feminization Laryngoplasty with TH elevation
Age: 38
male-to-female
Prior voice surgery: None
Year of surgery: 2012
Follow up (in months): 4
Dr. Thomas' comments:

She had an infection and had granulation tissue at the anterior commissure at follow up. She will be undergoing a revision procedure. There has been no change in her pitch at the 4 month follow up.

Feminization laryngoplasty with thyrohyoid elevation
0098 Feminization Laryngoplasty with TH elevation
Age: 49
male-to-female
Prior voice surgery: None
Year of surgery: 2012
Follow up (in months): 3
Dr. Thomas' comments:

She tried three years of speech therapy before undergoing the feminization laryngoplasty procedure.

Feminization laryngoplasty with thyrohyoid elevation
0101 Feminization Laryngoplasty with Thyrohyoid elevation
Age: 49
male-to-female
Prior voice surgery: None
Year of surgery: 2012
Follow up (in months): 39
Dr. Thomas' comments:

She had a granuloma at the time of this recording at three months. Her voice is slightly rough although the pitch is higher.

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.