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性别肯定性喉与嗓音手术

Gender Affirming Laryngeal and Voice Surgery.

作者信息

Srivastava Rakesh

机构信息

Raj ENT Centre & Voice Clinic, Lucknow, Uttar Pradesh, India.

出版信息

Indian J Plast Surg. 2022 Jun 24;55(2):174-178. doi: 10.1055/s-0041-1740078. eCollection 2022 Apr.

DOI:10.1055/s-0041-1740078
PMID:36017405
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9398523/
Abstract

Gender affirmation laryngeal and voice surgeries are components of "voice-lift" or cosmetic voice surgeries. Feminization surgery can modify vocal folds (fundamental frequency [Fo]) and vocal tract (resonance frequency). For increased pitch, vocal folds should be shorter, thinner, and tighter. Cricothyroid approximation (CTA) surgery increases tension of the vocal folds. Endoscopic procedures for pitch raising are done by shortening the length and reducing mass of vocal folds. This shortening is achieved by surgically creating anterior glottic web. Comparing the results of various open and endoscopic surgical techniques, fundamental frequency (Fo) is raised maximally and remains stable after GL as compared with CTA.

摘要

性别肯定喉部和嗓音手术是“嗓音提升”或美容嗓音手术的组成部分。女性化手术可以改变声带（基频[Fo]）和声道（共振频率）。为了提高音调，声带应更短、更薄且更紧绷。环甲肌逼近（CTA）手术可增加声带的张力。通过缩短声带长度和减轻声带质量来进行内镜下音调升高手术。这种缩短是通过手术形成前声门蹼来实现的。比较各种开放手术和内镜手术技术的结果，与CTA相比，GL术后基频（Fo）升高幅度最大且保持稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48b4/9398523/95ea3db76554/10-1055-s-0041-1740078-i2110988-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48b4/9398523/ed88fb93ae79/10-1055-s-0041-1740078-i2110988-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48b4/9398523/9835d332ba1e/10-1055-s-0041-1740078-i2110988-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48b4/9398523/58618535b547/10-1055-s-0041-1740078-i2110988-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48b4/9398523/95ea3db76554/10-1055-s-0041-1740078-i2110988-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48b4/9398523/ed88fb93ae79/10-1055-s-0041-1740078-i2110988-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48b4/9398523/9835d332ba1e/10-1055-s-0041-1740078-i2110988-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48b4/9398523/58618535b547/10-1055-s-0041-1740078-i2110988-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48b4/9398523/95ea3db76554/10-1055-s-0041-1740078-i2110988-4.jpg

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本文引用的文献

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Laryngoscope. 2018 Sep;128(9):2101-2109. doi: 10.1002/lary.27172. Epub 2018 Mar 24.
2
First Female-to-Male Facial Confirmation Surgery with Description of a New Procedure for Masculinization of the Thyroid Cartilage (Adam's Apple).首例女性变男性面部确认手术及一种甲状腺软骨（喉结）男性化新手术方法的描述
Plast Reconstr Surg. 2017 Apr;139(4):883e-887e. doi: 10.1097/PRS.0000000000003185.
3
Transgender Phonosurgery: A Systematic Review and Meta-analysis.
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Otolaryngol Head Neck Surg. 2017 May;156(5):803-808. doi: 10.1177/0194599817697050. Epub 2017 Mar 28.
4
Pitch Elevation in Male-to-female Transgender Persons-the Würzburg Approach.男性变女性跨性别者的音调升高——维尔茨堡方法
J Voice. 2017 Mar;31(2):244.e7-244.e15. doi: 10.1016/j.jvoice.2016.07.018. Epub 2016 Aug 18.
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Pitch elevation in trangendered patients: anterior glottic web formation assisted by temporary injection augmentation.变性患者的音调升高：临时注射填充辅助前声门蹼形成
J Voice. 2014 Nov;28(6):816-21. doi: 10.1016/j.jvoice.2014.05.002. Epub 2014 Jun 21.
6
Wendler glottoplasty: an effective pitch raising surgery in male-to-female transsexuals.温德勒氏杓状软骨切除术：一种用于男性变女性跨性别者的有效音调升高手术。
J Voice. 2013 Jul;27(4):516-22. doi: 10.1016/j.jvoice.2013.04.004.
7
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