Case 75 (2008)
This 28 yo wished to begin her transition with her voice change.
These recordings are set to a fairly low resolution for the internet but do demonstrate the general sound and function of the vocal cords before and after this case of laryngeal reduction surgery. Much more detail is actually visible in the office. The videos when shown are oriented with the front down and the left vocal fold is on the right of the video. Orientation is discussed here. Please note: These examples of possible results should not be construed to represent what will be acheived in any other patient. Thus there are several examples of patients on the site
There are many components to a voice exam. I have selected ones here that I feel change the most with this type of surgery.
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Pre Surgery |
3 months |
7 months |
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Reading passagePitch is described relative to C4 or middle C on the piano. |
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Pitch: about C3# - mid-male range (typical male speaking range about B2 - E3) |
Pitch: about B3 (normal female speaking range about E3 - A3) |
Pitch: about A3# (normal female speaking range about E3 - A3)
more relaxed sound on second line |
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Lowest pitch |
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Pitch: about A2 (normal male low range varies C1 - C3) |
Pitch: about E3 (normal female low range varies between B2 - F3) this is a glide from high to lowest pitch. |
Pitch: about D3# |
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Highest pitch |
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Pitch: about C5# |
Pitch: about D5 |
Pitch: about D5# |
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Vegetative soundscoughing & throat clearing |
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some change |
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Yellloud phonation |
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LaryngoscopyViews |
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Stroboscopysaying the sound /i/ |
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| Neck front view: |
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| Neck profile view: |
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| The surgeon’s comments: |
I removed about 45% of her anterior vocal cords. She scarred together with a larger web than I would have anticipated or desired. In the end that gives her a higher speaking pitch, but does significantly sacrifice volume. |
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