{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:29:01Z","timestamp":1789000141754,"version":"build-2803163510"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T00:00:00Z","timestamp":1593388800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Voice therapy has been the primary treatment for voice feminization in transfemale patients due to concerns that surgery worsens voice quality. We aim to determine the impact of Wendler glottoplasty on acoustic measures of voice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Transgender female patients treated for vocal feminization with Wendler glottoplasty at a single tertiary care center were identified. Pre\u2010 and postoperative measures were taken with the Kay Elemetrics Real\u2010Time Pitch, Analysis of Dysphonia in Speech and Voice, and Multidimensional Voice Program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010eight patients were included in this study. There were no statistically significant changes in fundamental frequency variation, peak amplitude variation, soft phonation index, noise\u2010to\u2010harmonics ratio, cepstral peak prominence, or cepstral spectral index of dysphonia at a significance level of <jats:italic>P<\/jats:italic> &lt;\u2009.05. Average speaking fundamental frequency (SF0) increased from 143\u2009Hz after voice therapy to 163\u2009Hz after surgery (<jats:italic>P<\/jats:italic> =\u2009.0009). Lower range decreased in 61% and increased in 26% of patients. Upper range decreased in 52% and increased in 48% of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Wendler glottoplasty does not worsen voice quality based on acoustic measures. Although most patients experience an increase in average SF0, effects on vocal range are variable with approximately half of patients experiencing a reduction and half experiencing an increase in upper pitch limit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 131:583\u2013586, 2021<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28764","type":"journal-article","created":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T15:04:28Z","timestamp":1593443068000},"page":"583-586","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Effect of Wendler Glottoplasty on Acoustic Measures of Voice"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1995-1538","authenticated-orcid":false,"given":"Joseph","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010 Head and Neck Surgery, Division of Laryngology Mount Sinai Health System  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah K.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010 Head and Neck Surgery, Division of Laryngology Mount Sinai Health System  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shirley","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010 Head and Neck Surgery, Division of Laryngology Mount Sinai Health System  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ganesh","family":"Sivakumar","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Medha","family":"Sataluri","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010 Head and Neck Surgery, Division of Laryngology Mount Sinai Health System  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanne","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010 Head and Neck Surgery, Division of Laryngology Mount Sinai Health System  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark S.","family":"Courey","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010 Head and Neck Surgery, Division of Laryngology Mount Sinai Health System  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2006.05.005"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3758\/APP.71.5.1150"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.5501.43"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/15532739.2015.1075931"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26127"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2013.04.004"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1044\/2018_AJSLP-17-0009"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27172"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2009.07.004"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27001"}],"container-title":["The 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