Voice change surgery-male to female or vice versa. Contact: [email protected]
-
Upload
dr-ornouma-entdoctor -
Category
Lifestyle
-
view
1.009 -
download
1
description
Transcript of Voice change surgery-male to female or vice versa. Contact: [email protected]
![Page 1: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/1.jpg)
Voice Feminization Surgery
Ornouma Sriwanishvipat, MD.,[email protected]
Otorhinolaryngologist Voice Change Surgeon
(transgender) Snoring Surgeon Nose, Sinus Surgeon
![Page 2: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/2.jpg)
Transgender/Transsexuals It is a recognized disorder of gender identity in which
people believed themselves to be born into the “wrong” gender body.
Most of them went to speech therapy; however, their effort is generally unsuccessful. Finally, they resolve to voice feminization surgery which is Cricothyroid Approximation (CTA).
![Page 3: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/3.jpg)
Pre-surgeryStroboscope- is an
instrument used to view the movement of your voice box and to record the sound of your voice.
![Page 4: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/4.jpg)
Fundamental frequency (Fo) is most evident voice quality. Cyclic movements that vocal folds perform per second expressed in hertz.
Men: Fo ranges from 100 to 150 Hz.Women: Fo ranges from 200 to 300 Hz.
Voice Frequency
![Page 5: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/5.jpg)
Voice Feminization: CTAThe Cricothyroid Approximation surgery raises
vocal pitch by stimulating cricothyroid muscle contraction through the approximation of the cricoid and thyroid.
The surgery is performed in an inpatient setting under general anesthesia.
![Page 6: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/6.jpg)
CTA ProcedureThe neck is prepared
and draped in a sterile manner.
I made a 1.5-2 cm transverse incision is made in an existing skin crease over the cricothyroid.
![Page 7: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/7.jpg)
CTA ProcedureThe front of the voice box is
removed thus making the voice box smaller. (This removes the projection of the Adam's apple at the same time.
The vocal cords are then stretched and the front third to half of the cords are removed to shorten them.
![Page 8: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/8.jpg)
CTA Procedure
A thyrohyoid elevation may also be performed at the same time to try raising the voice box in the neck. This attempts to shorten the pharynx to feminize a portion of the resonance chamber (pharynx).
A thyrohyoid elevation consists of passing sutures around the hyoid bone to hold the voice box in an elevated position in the neck.
![Page 9: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/9.jpg)
Post surgery
• Hormonal treatment ( if any) are taken in the morning after surgery.
• Patient is subjected to a follow up check after seven days for suture removal.
![Page 10: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/10.jpg)
Male to Female client
![Page 11: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/11.jpg)
Before and After Surgeryy
AfterBefore
![Page 12: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/12.jpg)
Before and After SurgeryBefore After
![Page 13: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/13.jpg)
Before and After SurgeryBefore After
![Page 14: Voice change surgery-male to female or vice versa. Contact: yanhee_ent@yahoo.com](https://reader033.fdocuments.net/reader033/viewer/2022061214/549c6751b47959cf318b4724/html5/thumbnails/14.jpg)