Thyroid chondroplasty: Smoothing the thyroid cartilage— A retrospective study of thyroid chondroplasty for feminine neck appearance

Lipschitz, Noga; Wolf, Michael; Amir, Ofer; Sagiv, Doron; Primov-Fever, Adi

doi:10.1080/15532739.2017.1363679

Cited by 11 publications

(14 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Eleven studies were included in the systematic review and meta-analysis. Of the 11 studies that met inclusion criteria, three were surveys, 11,12,14 six were retrospective case series, 4,5,7–10 and two were case reports. 6,15 Figure 3 shows an algorithm of approach for our systematic review process.…”

Section: Resultsmentioning

confidence: 99%

“…Although certain variables such as a desire to further alter thyroid cartilage or a prominent scar can affect outcomes, overall, patients seem to be extremely satisfied with their results. Multiple studies 10,11 have advocated for further research to be devoted to patient-reported outcomes, as this is an aesthetic operation and therefore these are arguably the most important outcomes. One study 11 used an outcome instrument based on a previously designed and validated tool by Alsarraf et al 16 Consistent use of this instrument in future studies will allow for more reliable cross-study comparison and should be encouraged moving forward.…”

Section: Discussionmentioning

confidence: 99%

“…Although endoscopic direct visualization may be considered the safest surgical technique overall, the stratification of studies by year of publication (before and after 2010) shows a statistically significant trend of fewer complications in more recent years. Reports such as that by Lipschitz et al 10 show success with ET intubation and anatomical localization, indicating that greater practice and study over the years may have led to improvement in all methodologies. As always, the personal technique, comfort, and experience of the operating surgeon play the largest roles in operative success and ultimately patient satisfaction.…”

Section: Discussionmentioning

confidence: 99%

“…8 Since these reports, there has been no agreement as to which technique is superior in terms of safety, effectiveness and, most importantly, patient satisfaction. In fact, currently, an approximately equal divide exists between the methods used in reported cases; some advocate for the use of anatomical references, 9,10 whereas others prefer endoscopic visualization. 11,12 Those who advocate for the use of anatomical landmarks say that endoscopy is time consuming and costly and that a good anatomical understanding is sufficient to avoid vocal cord damage.…”

mentioning

confidence: 99%

“…11,12 Those who advocate for the use of anatomical landmarks say that endoscopy is time consuming and costly and that a good anatomical understanding is sufficient to avoid vocal cord damage. 10 Supporters of endoscopic visualization believe that their technique allows for an added level of safety and even better aesthetic results. 8 Although there has been a considerable amount of recent interest in FFS, to the authors' knowledge, no prior study has provided a comprehensive comparative analysis of overall complication and satisfaction rates among different laryngochondroplasty techniques or across different time periods.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Laryngochondroplasty: A Systematic Review of Safety, Satisfaction, and Surgical Techniques

Jahromi

Horen

Bonett

et al. 2022

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

Background: Since first performed in 1975, two main surgical techniques for laryngochondroplasty have evolved: anatomical localization and direct endoscopic visualization. The aim of this study was to evaluate which method is safest and had the highest patient-reported satisfaction rates, and to determine whether these outcomes have changed over time. Methods: A systematic review and meta-analysis following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed to find and analyze all medical publications related to laryngochondroplasty. Of these studies, patients who underwent laryngochondroplasty for gender-affirmation surgery were evaluated. Surgical and patient-reported outcomes were compared between different surgical techniques and between studies before and after the year 2010. Results: A total of 226 patients have been reported to have undergone laryngochondroplasty for gender-affirmation surgery. Overall transient and longterm complication rates were 14% and 0%, respectively. A 97% satisfaction rate was reported overall. Endoscopic visualization techniques were associated with lower short-term complications (OR, 21.11; 95% CI, 7.56 to 58.93); there was no difference in long-term complications (OR, 7.81; 95% CI, 0.31 to 194.37) or patient satisfaction (OR, 5.73; 95% CI, 0.32 to 101.97). Studies performed before the year 2010 had a significantly greater number of short-term complications compared to studies performed after the year 2010 (OR, 10.16; 95% CI, 3.71 to 27.82), with no difference in long-term complications (OR, 4.56; 95% CI, 0.18 to 113.25) or patient satisfaction (OR, 4.99; 95% CI, 0.59 to 42.20). Conclusions: All laryngochondroplasty techniques result in high patient satisfaction. Endoscopic visualization may help facilitate safe surgery and should be used in conjunction with anatomical familiarity. Technique choice should be dictated by the surgeon's experience and patient desires.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Laryngochondroplasty: A Systematic Review of Safety, Satisfaction, and Surgical Techniques

Jahromi

Horen

Bonett

et al. 2022

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

Scarless Neck Feminization by Transoral Endoscopic Vestibular Approach Chondrolaryngoplasty: A Prospective Cohort

Shoffel‐Havakuk

Cohen

Lahav

et al. 2023

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective. Chondrolaryngoplasty (laryngeal-prominence reduction) is a gender affirmation surgery for transgender women, or for cisgender people desiring an esthetic correction. Up until recently, chondrolaryngoplasty required a visible neck scar. The transoral endoscopic vestibular approach (TOEVA) is gaining widespread use as a scarless alternative for thyroid/parathyroid surgeries. This study aims to describe the feasibility, safety, and outcomes of TOEVAchondrolaryngoplasty, based on the first-ever performed cases.Study Design. A prospective cohort.Setting. An academic referral center.Methods. Adult patients interested in chondrolaryngoplasty underwent scarless TOEVA-chondrolaryngoplasty between 2019 and 2022, according to the described protocol. Video stroboscopy was recorded pre-and postoperatively. Surgical data, adverse events, and complications were recorded. Patients' satisfaction was measured using an outcome instrument for esthetic chondrolaryngoplasty.Results. Twelve patients (10 transgender women, a cisgender man, and a woman) were included. The mean age was 26.7 ± 6.5 years, ranging from 19 to 37. The average operative time was 3:01 ± 0:51 hours. The thyroid cartilage and laryngeal prominence were easily and safely approached and reduced, with no adverse events or major complications. All patients were discharged on postoperative day 1. A single patient had a temporary mental nerve hypoesthesia that resolved spontaneously. Otherwise, no other complications were encountered. Vocal folds' function remained unchanged in all patients. Patients were very much to completely satisfied with the surgical results as measured by the outcome instrument; median (interquartile range), 25 (21-27.75). Conclusion.In this first reported cohort of scarless TOEVAchondrolaryngoplasty, this approach was proven to be safe and feasible, with no adverse events or major complications, and with high patient satisfaction.

show abstract

Surgical techniques and outcomes of thyroid chondroplasty in transfeminine individuals: A systematic review

Li,

Lava,

Bautista Neughebauer

et al. 2024

Journal of Plastic, Reconstructive & Aesthetic Surgery

View full text Add to dashboard Cite

Thyroid chondroplasty: Smoothing the thyroid cartilage— A retrospective study of thyroid chondroplasty for feminine neck appearance

Cited by 11 publications

References 19 publications

Laryngochondroplasty: A Systematic Review of Safety, Satisfaction, and Surgical Techniques

Laryngochondroplasty: A Systematic Review of Safety, Satisfaction, and Surgical Techniques

Scarless Neck Feminization by Transoral Endoscopic Vestibular Approach Chondrolaryngoplasty: A Prospective Cohort

Surgical techniques and outcomes of thyroid chondroplasty in transfeminine individuals: A systematic review

Contact Info

Product

Resources

About