Voice Outcome of Glottoplasty in Trans Women.
Voice Outcome of Glottoplasty in Trans Women.
复制标题
DOI：
10.1016/j.jvoice.2023.01.013
复制
发表时间：
2023-02-09
期刊：
影响因子：
--
通讯作者：
Tomassen, Peter
中科院分区：
文献类型：
--
作者：
D'haeseleer, Evelien;Papeleu, Tine;Tomassen, Peter
目得：本研究调查了声门成形术术后6个月对跨性别女性的声音参数、听众感知和客户满意度的短期和长期影响。其次，软骨喉成形术和语音治疗对声门成形术结果的影响进行了调查。方法：采用前瞻性纵向非对照试验。本研究纳入了35名接受声门成形术或声门成形术和软骨喉成形术联合治疗的跨性别女性。分别于术前、术后1周、1个月、6个月进行嗓音评估。测量以下结果参数：基频（fo），强度，频率和强度范围，发音困难严重程度指数（DSI），声学语音质量指数（AVQI），语音障碍指数（VHI），跨女性语音问卷（TWVQ）和视觉模拟量表（VAS）测量客户的满意度。使用听力experiments.RESULTS：随着时间的推移，发现所有的FO和强度参数，DSI，AVQI，VHI和TWVQ分数的显着差异。女性气质的自我认知和自我认知在手术后更高。显着差异的演变，听众的看法被发现组之间有和没有语音therapy.CONCLUSION：声门成形术改善语音相关的生活质量，是一种有效的方法，以增加FO和相关的感性女性。声门成形术后，立即和短期的声音质量，发声能力和频率范围的下降进行了测量，逐步恢复的长期。声门成形术的长期副作用是降低说话强度和强度范围。语音治疗似乎可以改善声门成形术的结果，但在未来的研究中应进一步研究。
PURPOSE: This study investigates the short- and longer-term effects of glottoplasty up to six months after surgery on acoustic voice parameters, listener perceptions, and client's satisfaction in trans women. Secondly, the impact of chondrolaryngoplasty and voice therapy on the glottopasty outcomes was investigated.METHOD: A prospective longitudinal non-controlled trial was used. Thirty-five trans women undergoing glottoplasty or a combination of glottopasty and chondrolaryngoplasty were included in this study. A voice assessment was conducted before surgery and 1 week, 1 month and 6 months after surgery. The following outcome parameters were measured: fundamental frequency (fo), intensity, frequency and intensity range, Dysphonia Severity Index (DSI), Acoustic Voice Quality Index (AVQI), Voice Handicap Index (VHI), Trans Woman Voice Questionnaire (TWVQ), and visual analogue scales (VAS) measuring client's satisfaction. Listener perceptions of masculinity-femininity were collected using a listening experiment.RESULTS: Significant differences over time were found for all fo and intensity parameters, DSI, AVQI, VHI and TWVQ scores. Listener perception and self-perception of femininity was higher after surgery. Significant differences in evolution of listener perceptions were found between the groups with and without voice therapy.CONCLUSION: Glottoplasty improves voice related quality of life and is an effective method to increase the fo and associated perceptual femininity. After glottoplasty an immediate and short-term decrease in voice quality, vocal capacity and frequency range was measured with a progressive recovery on the longer term. Long term side effects of glottoplasty are a reduction in speaking intensity and intensity range. Voice therapy seems to improve the outcomes of glottoplasty, but should be further investigated in future studies.