Casado Juan C, O'Connor Carlos, Angulo María S, Adrián José A
Servicio de Otorrinolaringología, Hospital QUIRÓN-Marbella, Málaga, España.
Logopedia, Universidad de Málaga, Málaga, España.
Acta Otorrinolaringol Esp. 2016 Mar-Apr;67(2):83-92. doi: 10.1016/j.otorri.2015.02.003. Epub 2015 May 29.
With the development of new ENT techniques, many male transsexuals who wish to become women usually request a surgical procedure to raise the fundamental frequency of the voice (feminization). The ENT specialist and the voice-therapist have to use an interdisciplinary approach to this growing social demand. The aim of this study was to show the results in a group of transsexual patients after Wendler's anterior synechiae, with additional voice-therapy treatment.
Ten male transexulas who wish to become women patients who had Wendler glottoplasty and voice-therapy were assessed. The surgical procedure consisted of a de-epithelialization of the anterior third of both vocal folds; this area was sutured and the surface of both vocal folds was vaporised with laser diode. Pre- and postsurgery voice assessment consisted of measuring fundamental frequency (Fo) and maximum phonation time, administering the transgender self-assessment questionnaire (TSEQ) and obtaining perceptual voice assessment by inter-rater agreement.
All the male transsexuals who wish to become women patients significantly increased their Fo (106 Hz on average) after the treatment. Furthermore, significant improvements were shown in self-reported satisfaction and in the degree of voice feminization. No improvements in the maximum phonation time were observed.
Wendler glottoplasty is a surgical procedure to contribute to feminising the voice, with good medium-term results and without noteworthy medical complications. The increase in vocal tone was observed using several pre- and post-surgery control measures and voice therapy.
随着耳鼻喉科新技术的发展，许多希望转变为女性的男变性者通常会要求进行手术以提高嗓音的基频（女性化）。耳鼻喉科专家和嗓音治疗师必须采用跨学科方法来应对这一日益增长的社会需求。本研究的目的是展示一组接受温德勒前粘连术并辅以嗓音治疗的变性患者的治疗结果。
对10名希望转变为女性且接受了温德勒声门成形术和嗓音治疗的男变性患者进行了评估。手术过程包括对双侧声带前三分之一进行去上皮化；对该区域进行缝合，并用激光二极管汽化双侧声带表面。手术前后的嗓音评估包括测量基频（Fo）和最大发声时间，发放跨性别自我评估问卷（TSEQ），并通过评分者间一致性获得嗓音感知评估。
所有希望转变为女性的男变性患者在治疗后其Fo均显著提高（平均提高106赫兹）。此外，自我报告的满意度和嗓音女性化程度也有显著改善。最大发声时间未观察到改善。
温德勒声门成形术是一种有助于嗓音女性化的手术，中期效果良好，且无明显医疗并发症。通过手术前后的多种控制措施和嗓音治疗观察到了音调的提高。
