1013 Transgender female with a previous CTA that had faded.

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Age: 
51
Male or female: 
male-to-female
Type of surgery: 
Laser cord reduction
Prior voice surgery: 
Cricothyroid approximation
Trach shave: 
No previous Trach shave
Year of surgery: 
2003
Follow up (in months): 
7
Dr. Thomas' comments: 

She had a cricothyroid approximation 2 years earlier and felt that her pitch had dropped back down. We tried a surgical (microlaryngoscopy with CO2 laser) laser tuning.  I was not impressed that the laser tightening added anything to her vocal pitch.