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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Laser cord reduction
Laser vocal cord tuning in genetic female
Age: 40
Female
Prior voice surgery: None
Year of surgery: 2010
Follow up (in months): 14
Dr. Thomas' comments:

Female desiring a clearer and slightly higher comfortable speaking pitch. This audio has recordings after 1 and 2 treatments. This procedure was performed in the office and the patient rested her voice for approximately one week after each treatment.

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 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.

Laser cord reduction
1013 Transgender female with a previous CTA that had faded.
Age: 51
male-to-female
Prior voice surgery: Cricothyroid approximation
Year of surgery: 2003
Follow up (in months): 7
Dr. Thomas' comments:

She had a cricothyroid approximation 2 years earlier and felt that her pitch had dropped back down. We tried a surgical (microlaryngoscopy with CO2 laser) laser tuning.  I was not impressed that the laser tightening added anything to her vocal pitch.

Laser cord reduction
1030 KTP laser tightening of vocal cords
Age: 47
male-to-female
Prior voice surgery: None
Year of surgery: 2013
Follow up (in months): 2
Dr. Thomas' comments:

Her voice is much improved in terms of comfortable speaking pitch approximately 2 months after KTP laser tightening of her vocal cords. I am hesitant to attribute all of this improvement to the tightening although she finds it much easier to maintain a feminine voice since the procedure. She had excellent pharyngeal squeeze on her initial exam which should give her very good feminine resonance qualities.

Patient's comments:

Give me a moment for and exclamation. Wow! When I played back on Vocaroo, while I was pleased with the result, it still sounded a little sultry. It's nice to hear my voice without having to stress it at all. I wonder if the removal of the nodules added to the effect. It was only in the last few months that I was starting to have more frequent problems, which is kind of why I started to panic.

I think I'm still healing. My voice is at a slightly different pitch each day and at different times of the day. Today, it recorded just a tad bit lower for a relaxation recording that I did. Of course, I didn't stretch out my diaphragm then, either. 

I did have immediate difficulty even just whispering immediately after the surgery, and after the days of voice rest, it would just come and go. After an intensive belly dance class one week later, I opened my mouth, and my pitch had leaped even higher.

In the last couple of weeks, I was testing my singing voice, and like learning to play the clarinet back in junior high, I would suddenly screech over certain notes. Finally, about 9 days ago, I joined a singing circle with my speech pathologist, Stacey Cole, and after some really good warmups, I was able to start hitting what I imagined were those notes, and squeaked only once.

On Sunday, I injected myself into choir practice, and with the music director helped guide me up into full alto range and in tune and out of harmony. It was a little stressful, but part of the stress was in controlling my diaphragm. 

I am so happy with my voice.