Department of Otolaryngology Head and Neck Surgery, Division of Laryngology, Mount Sinai Health System, New York, New York, USA.
Department of Otolaryngology/Head & Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Laryngoscope. 2023 Mar;133(3):615-620. doi: 10.1002/lary.30225. Epub 2022 May 30.
To date, 1-year evaluation of pitch elevation in patients undergoing modified Wendler glottoplasty (WG) in combination with VT has not been assessed.
To determine whether 1-year pitch elevation is sustained in patients who undergo modified WG in combination with VT for voice feminization.
A retrospective review of patients who underwent WG in combination with voice therapy (VT) was performed from 2016 to 2020. Charts were reviewed for sustained vowel fundamental frequency (F0/a/), speaking fundamental frequency (SF0), and Trans Woman Voice Questionnaire (TWVQ) at preoperative, initial postoperative (3-6 months after surgery), and 12-month postoperative visits.
Change in average F0/a/, SF0 and TWVQ was 50.25 Hz, 32.96 Hz, and 32.6 at 12-months postoperatively compared to preoperative values. Initial and 12-month postoperative SF0 were significantly higher than preoperative SF0 (Mann-Whitney U test p = 0.0042, p = 0.0010). There was no difference in initial postoperative and 12-month postoperative SF0 (p = 0.50). TWVQ at 12 months was significantly lower than preoperative TWVQ (ANOVA p < 0.001, Tukey honestly significant difference HSD p < 0.05).
Pitch elevation remains sustained at one year in patients undergoing modified WG in combination with VT. Modified Wendler glottoplasty combined with VT results in relatively long-term improvements in voice-related quality of life and is possibly a beneficial addition in the long-term management of patients who desire voice feminization.
4 Laryngoscope, 133:615-620, 2023.
迄今为止，尚未评估接受改良 Wendler 声门成形术（WG）联合嗓音训练（VT）的患者术后 1 年的音调提升情况。
确定在接受改良 WG 联合 VT 进行嗓音女性化的患者中，1 年的音调提升是否可持续。
回顾性分析了 2016 年至 2020 年期间接受 WG 联合 VT 的患者。对术前、术后 3-6 个月（初始术后）和术后 12 个月的持续元音基频（F0/a/）、说话基频（SF0）和跨性别女性嗓音问卷（TWVQ）进行图表审查。
与术前相比，术后 12 个月的平均 F0/a/、SF0 和 TWVQ 分别变化了 50.25Hz、32.96Hz 和 32.6。初始和术后 12 个月的 SF0 明显高于术前 SF0（Mann-Whitney U 检验，p=0.0042，p=0.0010）。初始术后和术后 12 个月的 SF0 无差异（p=0.50）。术后 12 个月的 TWVQ 明显低于术前 TWVQ（方差分析，p<0.001，Tukey Honestly Significant Difference HSD p<0.05）。
在接受改良 WG 联合 VT 的患者中，1 年后音调提升仍然保持。改良 Wendler 声门成形术联合 VT 可长期改善嗓音相关生活质量，可能是长期管理希望实现嗓音女性化的患者的有益补充。
4 Laryngoscope，133：615-620，2023 年。
