Addition of Wendler Glottoplasty to Voice Therapy Improves Trans Female Voice Outcomes

Objectives/Hypothesis VT is often considered the preferred treatment for vocal feminization in transgender patients. However, Wendler glottoplasty offers a surgical option for increasing fundamental frequency and perception of vocal femininity. We aimed to determine whether the addition of glottopla...

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Bibliographic Details
Published in:The Laryngoscope 2021-07, Vol.131 (7), p.1588-1593
Main Authors: Brown, Sarah K., Chang, Joseph, Hu, Shirley, Sivakumar, Ganesh, Sataluri, Medha, Goldberg, Leanne, Courey, Mark S.
Format: Article
Language:English
Subjects:
Laryngoscopy
Larynx
surgery
Throat surgery
Transgender persons
Voice
voice training
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Summary:Objectives/Hypothesis VT is often considered the preferred treatment for vocal feminization in transgender patients. However, Wendler glottoplasty offers a surgical option for increasing fundamental frequency and perception of vocal femininity. We aimed to determine whether the addition of glottoplasty to VT results in greater fundamental frequency elevation and improvement in quality‐of‐life measures. Study Design Retrospective case series. Methods Forty‐eight trans female patients were treated for vocal feminization. Twenty‐seven patients underwent VT, and 21 patients underwent VT with additional glottoplasty (VTWG). Pre‐ and posttreatment acoustic measures, Trans Woman Voice Questionnaire (TWVQ), and Voice Handicap Index‐10 (VHI‐10) data were compared. Results Glottoplasty in combination with VT elevated average speaking fundamental frequency (SF0) to a greater extent than VT alone (P 
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.29050