ORBi: Remacle Marc - Voice Feminization in case of gender reassignment: effect of Wendler glottopasty

Reference : Voice Feminization in case of gender reassignment: effect of Wendler glottopasty


	Document type :	Scientific congresses and symposiums : Paper published in a journal
	Discipline(s) :	Human health sciences : Otolaryngology
	To cite this reference:	http://hdl.handle.net/2268/87356

Title :	Voice Feminization in case of gender reassignment: effect of Wendler glottopasty
Language :	English
Author, co-author :	Remacle, Marc [ > > ]
	Morsomme, Dominique [Université de Liège - ULg > Département des sciences cognitives > Logopédie des troubles de la voix >]
	Lawson, George [ > > ]
Publication date :	4-Jul-2009
Journal title :	Journal of Voice
Publisher :	Mosby
On invitation :	No
Audience :	International
ISSN :	0892-1997
e-ISSN :	1557-8658
City :	St Louis
Country :	MO
Event name :	38ème Symposium: Care of the professional Voice
Event date :	du 03 juin au 07 juin 2009
Event organizer :	the Voice Foundation's
Event place (city) :	Philadelphie
Event country :	USA
Keywords :	[en] Transsexuals ; Glottoplasty ; Voice Therapy
Abstract :	[en] Summary: Objectives. The aim of this study was to evaluate the objective voice results ofWendler’s glottoplasty in male-to-female transsexuals. Method. We retrospectively reviewed our patients treated with Wendler’s technique with minor modifications. Glottoplasty consisted in CO2-laser epithelial ablation of the anterior commissure and the two vocal folds in anterior third, suturing of the two vocal folds with two stitches of 3.0 resorbable thread, and application of fibrin sealant to strengthen the suture. Voice assessment was based mainly on fundamental frequency (F0), frequency range, jitter, maximum phonation time, phonation quotient, estimated subglottic pressure (ESGP) grade of dysphonia (G), and voice handicap index (VHI). These measures were taken before surgery and on the last follow-up visit. Results. Our series included 15 patients with a mean age of 36 years. The mean follow-up period was 7.2 months.We did not observe any early complications related to the technique. The comparison between the preoperative and the postoperative measurements, using Wilcoxon signed rank test, showed a significant improvement of median F0 from 139 to 191 Hz (P ¼ 0.006) with an increase in the grade of dysphonia (Gpre ¼ 0.2, Gpost ¼ 1, P ¼ 0.013) and ESGP (ESGPpre ¼ 8.1 ± 3.2, ESGPpost ¼ 12.0 ± 3.8, P ¼ 0.002). Other measurements, including VHI, did not show any significant differences pre- and postoperatively. Conclusion. Wendler’s glottoplasty can contribute to feminize the voice.
Permalink :	http://hdl.handle.net/2268/87356

File(s) associated to this reference

Fulltext file(s):

	File	Commentary	Version	Size	Access
Restricted access	glottoplasty J voice.pdf		Publisher postprint	353.13 kB	Request copy

All documents in ORBi are protected by a user license.

Dspace v1.5