Scarless Neck Feminization: Transoral Transvestibular Approach Chondrolaryngoplasty

Khafif, Avi; Shoffel‐Havakuk, Hagit; Yaish, Iris; Tordjman, Karen; Assadi, Niddal

doi:10.1089/fpsam.2020.0021

Cited by 26 publications

(38 citation statements)

References 25 publications

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“…A four‐patient study by Khafif et al in 2020 suggests a transoral endoscopic vestibular approach without complications and “all operated patients were highly satisfied with the surgical results.” 5 This approach would require more dissection to reach the thyroid cartilage but would avoid any external scar in the neck. A cadaveric study by Verhasselt et al in 2020 also confirmed the feasibility of a surgical reduction of the Adam's apple without a cutaneous scar utilizing a transvestibular endoscopic thyroidectomy approach 32 .…”

Section: Discussionmentioning

confidence: 99%

“…After being first described by Wolfort and Parry 1 and Wolfort et al 2 in 1975, various modifications of laryngochondroplasties have been described, including an endoscopic technique, to evaluate the position of the vocal folds by Conrad and Yoskovitch in 2003, 3 a technique using a fiberoptic scope through a laryngeal mask airway (LMA) by Spiegel and Rodriguez in 2008, 4 and a transoral approach by Khafif et al in 2020. 5 Although laryngochondroplasties have been performed for the last 40 years, few studies have been performed that evaluate the improvement in quality of life (QOL) after such procedures. The goal of this study was to determine such benefit by providing these patients a validated benefit inventory known as the Glasgow Benefit Inventory (GBI), a validated generic patient-recorded outcome measure widely used in otolaryngology to report change in QOL postintervention.…”

Section: Introductionmentioning

confidence: 99%

“…Laryngochondroplasty, also known as chondrolaryngoplasty, tracheal shave, or Adam's apple reduction is a surgical procedure to reduce the prominence of the thyroid cartilage in male‐to‐female transgender individuals. After being first described by Wolfort and Parry 1 and Wolfort et al 2 in 1975, various modifications of laryngochondroplasties have been described, including an endoscopic technique, to evaluate the position of the vocal folds by Conrad and Yoskovitch in 2003, 3 a technique using a fiberoptic scope through a laryngeal mask airway (LMA) by Spiegel and Rodriguez in 2008, 4 and a transoral approach by Khafif et al in 2020 5 …”

Section: Introductionmentioning

confidence: 99%

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Evaluating Patient Benefit From Laryngochondroplasty

Tang

2020

The Laryngoscope

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Objectives/Hypothesis: To elucidate and review current literature on the surgical technique for laryngochondroplasty in male-to-female transgender patients. To determine the degree of benefit afforded to male-to-female transgender patients by laryngochondroplasty using the Glasgow Benefit Inventory (GBI). Study Design: Retrospective case series. Methods: After institutional review board approval was obtained, the GBI survey was given to patients who underwent laryngochondroplasty by the author. Demographic information was analyzed including age, race, wait time to surgery, distance traveled, median zip code income, and concomitant gender-affirming surgeries such as vaginoplasty, breast augmentation, or facial feminization. Results: From April 2016 to April 2020, 209 patients received laryngochondroplasty within the Kaiser Permanente Northern California Medical System. Of those, 91 received laryngochondroplasty with the author and were given the GBI, with 73 patients (80%) responding. Patients were on average 31.4 years old, traveled 45.4 miles to the surgical site, lived in a zip code with a median income of $86,793.61, and waited 95.7 days for surgery. Patients had a statistically significant improvement in all three subscores (general, social, and physical) of the GBI as well as in their overall score. Conclusions: Laryngochondroplasty is a safe and effective procedure to reduce thyroid cartilage prominence (Adam's apple) in male-to-female transgender patients. There was a statistically significant improvement in the overall score and all subscores of the GBI after laryngochondroplasty

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluating Patient Benefit From Laryngochondroplasty

Tang

2020

The Laryngoscope

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Section: Introductionmentioning

confidence: 99%

“…TOETVA offers a direct approach to the central neck region via the linea alba, thus allowing access to the thyroid and parathyroid glands as well as to the laryngeal framework for certain indications. 2,3 The approach starts at the lower lip vestibule, thus avoiding possible devastating complications reported in other remote approaches, such as brachial plexus injury. 4 Based on previous series from leading groups involving hundreds of patients, this approach has been shown to be comparable with the open approach regarding its safety and oncologic results, 5,6 while offering patients an opportunity to avoid Avi Khafif and Oded Cohen contributed equally to the article.…”

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confidence: 99%

Adoption of the transoral endoscopic vestibular approach by head and neck surgeons without prior laparoscopic/robotic experience

et al. 2020

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Background: Transoral endoscopic vestibular approach (TOEVA) for thyroidectomy (TOETVA) and parathyroidectomy (TOEPVA) is gaining popularity, yet knowledge is based on a limited number of studies, mostly performed by surgeons experienced in laparoscopicnrobotic surgery. Methods: All patients who underwent TOEVA at our institution between February 2018 and October 2019 were followed prospectively. Main outcomes were ability to accomplish surgery endoscopically (failure defined as conversion to open approach) and complications. Results: Seventy-one patients (52 TOETVA and 19 TOEPVA) were included. 98% (51/52) and 100% (19/19) of TOETVA and TOEPVA surgeries were accomplished endoscopically, respectively. Transient vocal cord and mental nerve injuries rates were 8.4% (6/71) and 2.8% (2/71), respectively. Thyroid carcinoma was diagnosed in 27 patients (51.9%), all completely excised with clean margins. Conclusions: Adoption of the TOEVA suggested framework by head and neck surgeons without prior experience in laparoscopic/robotic techniques is feasible resulting in nearly 100% of surgeries accomplished endoscopically. K E Y W O R D S endoscopic, parathyroidectomy, thyroidectomy, transoral, vestibular approach 1 | BACKGROUND The use of the transoral endoscopic thyroidectomy vestibular approach (TOETVA) is increasing, as both surgeons and patients are becoming more and more familiar with this technique and its advantages. Unlike other approaches for scarless thyroidectomies, TOETVA does not require a surgical robot, 1 and can be relatively quickly adopted in different centers worldwide.

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Scarless Neck Feminization: Chondrolaryngoplasty Through Endoscopic Transoral Vestibular Approach

Banuchi

Helman

2022

The Laryngoscope

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We present in this paper a novel approach to perform endoscopic chondrolaryngoplasty without any external visible scars. The technique involves utilizing the endoscopic transoral vestibular approach. We have modified the technique by using the placement of a suture immediately above the anterior commissure, which provides a marker for the inferior extent of cartilage resection. Laryngoscope, 133:1099–1102, 2023

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Scarless Neck Feminization: Transoral Transvestibular Approach Chondrolaryngoplasty

Cited by 26 publications

References 25 publications

Evaluating Patient Benefit From Laryngochondroplasty

Evaluating Patient Benefit From Laryngochondroplasty

Adoption of the transoral endoscopic vestibular approach by head and neck surgeons without prior laparoscopic/robotic experience

Scarless Neck Feminization: Chondrolaryngoplasty Through Endoscopic Transoral Vestibular Approach

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