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Effect of Wendler glottoplasty on voice and quality of life of transgender women.
Aires, Mateus Morais; de Vasconcelos, Daniela; Lucena, Jonia Alves; Gomes, Adriana de Oliveira Camargo; Moraes, Bruno Teixeira de.
Afiliación
  • Aires MM; Universidade Federal de Pernambuco, Hospital das Clínicas, Departamento de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço, Recife, PE, Brazil. Electronic address: mateusairesotorrino@gmail.com.
  • de Vasconcelos D; Universidade Federal de Pernambuco, Hospital das Clínicas, Departamento de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço, Recife, PE, Brazil.
  • Lucena JA; Universidade Federal de Pernambuco, Hospital das Clínicas, Departamento de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço, Recife, PE, Brazil.
  • Gomes AOC; Universidade Federal de Pernambuco, Hospital das Clínicas, Departamento de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço, Recife, PE, Brazil.
  • Moraes BT; Universidade Federal de Pernambuco, Hospital das Clínicas, Departamento de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço, Recife, PE, Brazil.
Braz J Otorhinolaryngol ; 89(1): 22-29, 2023.
Article en En | MEDLINE | ID: mdl-34400103
OBJECTIVE: To investigate the effect of Wendler glottoplasty on voice feminization, voice quality and voice-related quality of life. METHODS: Prospective interventional cohort of transgender women submitted to Wendler glottoplasty. Acoustic analysis of the voice included assessment of fundamental frequency, maximum phonation time formant frequencies (F1 and F2), frequency range, jitter and shimmer. Voice quality was blindly assessed through GRBAS scale. Voice-related quality of life was measured using the Trans Woman Voice Questionnaire and the self-perceived femininity of the voice. RESULTS: A total of 7 patients were included. The mean age was 35.4 years, and the mean postoperative follow-up time was 13.7 months. There was a mean increase of 47.9 ±â€¯46.6 Hz (p = 0.023) in sustained/e/F0 and a mean increase of 24.6 ±â€¯27.5 Hz (p = 0.029) in speaking F0 after glottoplasty. There was no statistical significance in the pre- and postoperative comparison of maximum phonation time, formant frequencies, frequency range, jitter, shimmer, and grade, roughness, breathiness, asthenia, and strain scale. Trans Woman Voice Questionnaire decreased following surgery from 98.3 ±â€¯9.2 to 54.1 ±â€¯25.0 (p = 0.007) and mean self-perceived femininity of the voice increased from 2.8 ±â€¯1.8 to 7.7 ±â€¯2.4 (p = 0.008). One patient (14%) presented a postoperative granuloma and there was 1 (14%) premature suture dehiscence. CONCLUSION: Glottoplasty is safe and effective for feminizing the voice of transgender women. There was an increase in fundamental frequency, without aggravating other acoustic parameters or voice quality. Voice-related quality of life improved after surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas Transgénero Aspecto: Patient_preference Límite: Adult / Female / Humans / Male Idioma: En Revista: Braz J Otorhinolaryngol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Brasil
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas Transgénero Aspecto: Patient_preference Límite: Adult / Female / Humans / Male Idioma: En Revista: Braz J Otorhinolaryngol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Brasil