×
☰

Zoeken in onze collecties: Hulp nodig  

Filter resultaten op:

Materiaalsoort:

Toegang

Vorm

  1. tijdschriftartikelen2

Taal

  1. engels2

Jaar van uitgave

Aantal resultaten: 2( DE:"stem" )

Artikel

Chondrolaryngoplasty in transgender women: Prospective analysis of voice and aesthetic satisfaction  / Mateus Morais Aires, Daniela de Vasconcelos & Bruno Teixeira de Moraes

International Journal of Transgender Health, 22 (2021) 4 oct-dec), p. 394-402
bron: International Journal of Transgender Health jaargang: 22 (2021) 4 oct-dec), p. 394-402
samenvatting: Chondrolaryngoplasty or "tracheal shaving" is cosmetic surgery to reduce the laryngeal prominence in transgender women. Complications may include damage to the vocal folds and epiglottic destabilization or aesthetic dissatisfaction. To assess and compare acoustic and perceptual voice outcomes and aesthetic satisfaction of transgender women submitted to chondrolaryngoplasty. Prospective interventional cohort of transgender women submitted to chondrolaryngoplasty between March 2018 and October 2019. Voice analysis included simple-blind application of the GRBAS Hirano scale by speech therapist and measurement of the fundamental frequency, in the preoperative and 1-month postoperative periods. The visual analog scale was used to analyze the aesthetic satisfaction, before and 6-months after chondrolaryngoplasty. Fifteen patients participated, with a mean age of 31.7 ± 8.3 years (range 22-51 years). The mean postoperative follow-up period was 15.3 ± 6.1 months (range 6?25 months). There was a significant improvement in the visual analog scale for aesthetic satisfaction, with a preoperative mean = 0.7 ± 1.0 and a postoperative mean = 9.3 ± 1.1 (95% CI for difference = 7.3 to 9.6; p < 0.001). All patients presented a positive variation. The preoperative mean fundamental frequency was 171.3 ± 41.2 Hz and the postoperative, 177.1 ± 39.5 Hz, with no statistical significance (95% CI for difference = ?30.1 to 41.7; p = 0.74). There was no statistically significant difference in the pre- and postoperative comparison of each component of the GRBAS scale. One (7%) patient presented a hyperpigmented scar and 2 (13%) reported hoarseness during the first postoperative week. There were no major complications such as disinsertion of the epiglottis or vocal folds. Chondrolaryngoplasty led to significant aesthetic satisfaction in transgender women. The surgery caused no noticeable vocal change in pitch or perception.
onderwerpen:
signatuur: ts.
Chondrolaryngoplasty in transgender women: Prospective analysis of voice and aesthetic satisfaction
ts.
Mateus Morais Aires, Daniela de Vasconcelos & Bruno Teixeira de Moraes
International Journal of Transgender Health
22
(2021)
4
oct-dec)
394-402
N311361
Artikel

The impact of living with transfeminine vocal gender dysphoria: Health utility outcomes assessment  / Brian Nuyen ...[et al.].

International Journal of Transgender Health, 24 (2023) 1 (jan-mar), p. 99-107
bron: International Journal of Transgender Health jaargang: 24 (2023) 1 (jan-mar), p. 99-107
samenvatting: The voice signals a tremendous amount of gender cues. Transfeminine individuals report debilitating quality-of-life deficits as a result of their vocal gender dysphoria. Aims: We aimed to quantify the potential impact of this dysphoria experienced with quality-adjusted life years (QALYs), as well as associated treatments, through validated health utility measures. Methods: Peri-operative phonometric audio recordings of a consented transfeminine patient volunteer with a history of vocal gender dysphoria aided in the description of two transfeminine health states, pre- and post-vocal feminization gender dysphoria; monocular and binocular blindness were health state controls. Survey responses from general population adults rate these four health states via visual analogue scale (VAS), standard gamble (SG), and time tradeoff (TTO). Results: Survey respondents totaled 206 with a mean age of 35.8 years. Through VAS measures, these general adult respondents on average perceived a year of life with transfeminine vocal gender dysphoria as approximately three-quarters of a life-year of perfect health. Respondents also on average would have risked a 15% - 20% chance of death on SG analysis and would have sacrificed 10 years of their remaining life on TTO measures to cure the condition. The QALY scores for the post-gender affirming treatments for vocal gender dysphoria (+0.09 VAS, p < 0.01) were significantly higher compared to the pretreatment state. There were no differences in the severity of these QALY scores by survey respondent's political affiliation or gender identity. Conclusions: To our knowledge, this study is the first to quantify how the general population perceives the health burden of vocal gender dysphoria experienced by transfeminine patients. Feminization treatments including voice therapy with feminization laryngoplasty appear to significantly increase health utility scores.
onderwerpen:
signatuur: ts.
The impact of living with transfeminine vocal gender dysphoria: Health utility outcomes assessment
ts.
Brian Nuyen ...[et al.].
International Journal of Transgender Health
24
(2023)
1
(jan-mar)
99-107
N312338
Debug info

Query:

( DE:"stem" )

URL (decoded):

&q=( DE:"stem" )&start=0&rows=10&facet=on&facet.field=W1&facet.query=jaar_vz:[* TO 1959]&facet.query=jaar_vz:[1960 TO 1969]&facet.query=jaar_vz:[1970 TO 1979]&facet.query=jaar_vz:[1980 TO 1989]&facet.query=jaar_vz:[1990 TO 1999]&facet.query=jaar_vz:[2000 TO 2009]&facet.query=jaar_vz:[2010 TO *]&facet.query=DC:OpenUp&facet.field=LA&facet.field=VO&facet.field=VO_EN&facet.field=TH&facet.field=TA&facet.field=TA_EN&facet.mincount=1&hl=on&hl.fl=BS,IR,BIO&hl.simple.pre=&hl.simple.post=&sort=B desc

URL (encoded):

&q=%28+DE%3A%22stem%22+%29&start=0&rows=10&facet=on&facet.field=W1&facet.query=jaar_vz:[*+TO+1959]&facet.query=jaar_vz:[1960+TO+1969]&facet.query=jaar_vz:[1970+TO+1979]&facet.query=jaar_vz:[1980+TO+1989]&facet.query=jaar_vz:[1990+TO+1999]&facet.query=jaar_vz:[2000+TO+2009]&facet.query=jaar_vz:[2010+TO+*]&facet.query=DC%3AOpenUp&facet.field=LA&facet.field=VO&facet.field=VO_EN&facet.field=TH&facet.field=TA&facet.field=TA_EN&facet.mincount=1&hl=on&hl.fl=BS,IR,BIO&hl.simple.pre=&hl.simple.post=&sort=B%20desc

searching...

×

Modal header

One fine body

Save changes Close
searching...