Type 3 Thyroplasty for a Patient with Female-to-Male Gender Identity Disorder
Objective. In most cases, about the voice of the patient with female-to-male/gender identity disorder (FTM/GID), hormone therapy makes the voice low-pitched. In success cases, there is no need for phonosurgery. However, hormone therapy is not effective in some cases. We perform type 3 thyroplasty in...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2018/4280381 |
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| author | Yu Saito Kazuhiro Nakamura Shigeto Itani Kiyoaki Tsukahara |
| author_facet | Yu Saito Kazuhiro Nakamura Shigeto Itani Kiyoaki Tsukahara |
| author_sort | Yu Saito |
| collection | DOAJ |
| description | Objective. In most cases, about the voice of the patient with female-to-male/gender identity disorder (FTM/GID), hormone therapy makes the voice low-pitched. In success cases, there is no need for phonosurgery. However, hormone therapy is not effective in some cases. We perform type 3 thyroplasty in these cases. Method. Hormone therapy was started in 2008 but did not lower the speaking fundamental frequencies (SFFs). We therefore performed TP3 under local anesthesia. Results. In our case, the SFF at the first visit was 146 Hz. The postoperative SFF was 110 Hz. Conclusions. TP3 was performed under local anesthesia in a patient with FTM/GID in whom hormone therapy proved ineffective. With successful conversion to a lower-pitched voice, the patient could begin to live daily life as a male. QOL improved significantly with TP3. If hormone therapy proves ineffective, TP3 may be selected as an optional treatment and appears to show few surgical complications and was, in this case, a very effective treatment. |
| format | Article |
| id | doaj-art-8c70e44d876948f4b91f84c53a38796e |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-8c70e44d876948f4b91f84c53a38796e2025-02-03T05:53:56ZengWileyCase Reports in Otolaryngology2090-67652090-67732018-01-01201810.1155/2018/42803814280381Type 3 Thyroplasty for a Patient with Female-to-Male Gender Identity DisorderYu Saito0Kazuhiro Nakamura1Shigeto Itani2Kiyoaki Tsukahara3Department of Otolaryngology, Head and Neck Surgery, Tokyo Medical University, 6-7-1 Nisisinnjuku, Shinjuku-ku, Tokyo 160-0023, JapanDepartment of Otolaryngology, Todachuo General Hospital, 1-19-3 Honthou, Toda-shi, Saitama 335-0023, JapanDepartment of Otolaryngology, Head and Neck Surgery, Tokyo Medical University, 6-7-1 Nisisinnjuku, Shinjuku-ku, Tokyo 160-0023, JapanDepartment of Otolaryngology, Head and Neck Surgery, Tokyo Medical University, 6-7-1 Nisisinnjuku, Shinjuku-ku, Tokyo 160-0023, JapanObjective. In most cases, about the voice of the patient with female-to-male/gender identity disorder (FTM/GID), hormone therapy makes the voice low-pitched. In success cases, there is no need for phonosurgery. However, hormone therapy is not effective in some cases. We perform type 3 thyroplasty in these cases. Method. Hormone therapy was started in 2008 but did not lower the speaking fundamental frequencies (SFFs). We therefore performed TP3 under local anesthesia. Results. In our case, the SFF at the first visit was 146 Hz. The postoperative SFF was 110 Hz. Conclusions. TP3 was performed under local anesthesia in a patient with FTM/GID in whom hormone therapy proved ineffective. With successful conversion to a lower-pitched voice, the patient could begin to live daily life as a male. QOL improved significantly with TP3. If hormone therapy proves ineffective, TP3 may be selected as an optional treatment and appears to show few surgical complications and was, in this case, a very effective treatment.http://dx.doi.org/10.1155/2018/4280381 |
| spellingShingle | Yu Saito Kazuhiro Nakamura Shigeto Itani Kiyoaki Tsukahara Type 3 Thyroplasty for a Patient with Female-to-Male Gender Identity Disorder Case Reports in Otolaryngology |
| title | Type 3 Thyroplasty for a Patient with Female-to-Male Gender Identity Disorder |
| title_full | Type 3 Thyroplasty for a Patient with Female-to-Male Gender Identity Disorder |
| title_fullStr | Type 3 Thyroplasty for a Patient with Female-to-Male Gender Identity Disorder |
| title_full_unstemmed | Type 3 Thyroplasty for a Patient with Female-to-Male Gender Identity Disorder |
| title_short | Type 3 Thyroplasty for a Patient with Female-to-Male Gender Identity Disorder |
| title_sort | type 3 thyroplasty for a patient with female to male gender identity disorder |
| url | http://dx.doi.org/10.1155/2018/4280381 |
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