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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Cricothyroid approximation
1018 Before and after voice recording
Age: 42
Prior voice surgery: None
Year of surgery: 2003
Follow up (in months): 19
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.

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.