Peri‐operative and anaesthetic considerations for gender‐affirming vocal surgery
The number of people identifying as transgender and/or gender diverse has increased significantly in recent years. As there are no pharmacologic options for raising vocal pitch and voice therapy may have limited benefit, vocal feminisation surgery is important for this group of patients. It is impor...
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| Published in: | Anaesthesia reports Vol. 12; no. 2; p. e12336 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
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01-07-2024
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| Abstract | The number of people identifying as transgender and/or gender diverse has increased significantly in recent years. As there are no pharmacologic options for raising vocal pitch and voice therapy may have limited benefit, vocal feminisation surgery is important for this group of patients. It is important for clinicians to be aware of the procedures which may be carried out and the implications for subsequent airway management. In this article, we present the case of a 46‐year‐old transgender woman who underwent gender‐affirming vocal surgery. We will discuss the modified Wendler glottoplasty surgical technique, anaesthetic management and postoperative recovery. We also discuss future peri‐operative implications, including airway management for those undergoing general anaesthesia for subsequent operations. |
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| AbstractList | The number of people identifying as transgender and/or gender diverse has increased significantly in recent years. As there are no pharmacologic options for raising vocal pitch and voice therapy may have limited benefit, vocal feminisation surgery is important for this group of patients. It is important for clinicians to be aware of the procedures which may be carried out and the implications for subsequent airway management. In this article, we present the case of a 46‐year‐old transgender woman who underwent gender‐affirming vocal surgery. We will discuss the modified Wendler glottoplasty surgical technique, anaesthetic management and postoperative recovery. We also discuss future peri‐operative implications, including airway management for those undergoing general anaesthesia for subsequent operations. The number of people identifying as transgender and/or gender diverse has increased significantly in recent years. As there are no pharmacologic options for raising vocal pitch and voice therapy may have limited benefit, vocal feminisation surgery is important for this group of patients. It is important for clinicians to be aware of the procedures which may be carried out and the implications for subsequent airway management. In this article, we present the case of a 46-year-old transgender woman who underwent gender-affirming vocal surgery. We will discuss the modified Wendler glottoplasty surgical technique, anaesthetic management and postoperative recovery. We also discuss future peri-operative implications, including airway management for those undergoing general anaesthesia for subsequent operations.The number of people identifying as transgender and/or gender diverse has increased significantly in recent years. As there are no pharmacologic options for raising vocal pitch and voice therapy may have limited benefit, vocal feminisation surgery is important for this group of patients. It is important for clinicians to be aware of the procedures which may be carried out and the implications for subsequent airway management. In this article, we present the case of a 46-year-old transgender woman who underwent gender-affirming vocal surgery. We will discuss the modified Wendler glottoplasty surgical technique, anaesthetic management and postoperative recovery. We also discuss future peri-operative implications, including airway management for those undergoing general anaesthesia for subsequent operations. |
| Author | Inglis, D. Lim, A. Myatt, J. Al Yaghchi, C. |
| Author_xml | – sequence: 1 givenname: A. surname: Lim fullname: Lim, A. organization: Department of Anaesthesia Charing Cross Hospital, Imperial College Healthcare NHS Trust London UK – sequence: 2 givenname: J. surname: Myatt fullname: Myatt, J. organization: Department of Anaesthesia Charing Cross Hospital, Imperial College Healthcare NHS Trust London UK – sequence: 3 givenname: D. surname: Inglis fullname: Inglis, D. organization: Department of Anaesthesia Royal National Throat, Nose and Ear Hospital, University College London Hospitals NHS Foundation Trust London UK – sequence: 4 givenname: C. surname: Al Yaghchi fullname: Al Yaghchi, C. organization: Department of Ear, Nose and Throat Charing Cross Hospital, Imperial College Healthcare NHS Trust London UK |
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| Cites_doi | 10.1002/lary.27172 10.1097/01.mlg.0000205198.65797.59 10.1016/j.bjae.2022.12.005 10.1016/j.jvoice.2020.11.005 10.1016/j.otc.2019.03.007 10.1111/anae.16378 10.1097/MOO.0000000000000967 |
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