{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T09:35:14Z","timestamp":1791538514564,"version":"4.3.4"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T00:00:00Z","timestamp":1596499200000},"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":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      Understanding transgender voice is in nascent stages. This study describes voice characteristics in treatment\u2010seeking trans women by comparing two validated questionnaires\u2014Voice Handicap Index\u201010 (VHI\u201010) and Transsexual Voice Questionnaire (TVQ\n                      <jats:sup>MtF<\/jats:sup>\n                      )\u2014and reports incidence of abnormal stroboscopy findings and acoustic characteristics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Retrospective review of transgender patients presenting to tertiary\u2010care laryngology center between February 2018\u2013February 2019. Mean VHI\u201010, TVQ, and Singing VHI\u201010 (SVHI\u201010) scores; audio\u2010perceptual grade; acoustic measures; and stroboscopy findings were analyzed. VHI\u201010 and SVHI\u201010 vs TVQ\n                      <jats:sup>MtF<\/jats:sup>\n                      were compared.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010one trans female patients (mean age: 32\u2009\u00b1\u200911\u2009years) were analyzed. Mean duration since start of transition was 41.5\u2009\u00b1\u200961\u2009months. Sixty\u2010nine percent presented full\u2010time female in all contexts. Pathologic stroboscopy findings were found in 5%. Mean questionnaire scores were 16\u2009\u00b1\u200910 (VHI\u201010), 19\u2009\u00b1\u200913 (SVHI\u201010), and 81\u2009\u00b1\u200922 (TVQ\n                      <jats:sup>MtF<\/jats:sup>\n                      ). Correlation between VHI\u201010 and SVHI\u201010 versus TVQ\n                      <jats:sup>MtF<\/jats:sup>\n                      was weak, R = 0.47 (\n                      <jats:italic>P<\/jats:italic>\n                      =\u2009.053) and R = 0.35 (\n                      <jats:italic>P<\/jats:italic>\n                      =\u2009.17), respectively. Mean audio\u2010perceptual grade was 0.27\u2009\u00b1\u20090.15. Mean Cepstral Spectral Index of Dysphonia (CSID, sustained vowel) was 8.5\u2009\u00b1\u200921.9. Mean Cepstral Peak Prominence (CPP) Fo and CPP Fo SD in rainbow passage were 157.3\u2009\u00b1\u200916 and 59.4\u2009\u00b1\u200915.9, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Trans women report perceived voice handicap in speaking and singing, which appears separate from gender\u2010related voice\/communication concerns. This study is the first to report stroboscopy findings in transgender individuals, with 5% being abnormal. Stroboscopy is encouraged before initiating voice intervention in transgender patients. Preliminary evaluation suggests weak correlation between VHI\u201010 or SVHI\u201010 and TVQ\n                      <jats:sup>MtF<\/jats:sup>\n                      but requires further investigation. TVQ\n                      <jats:sup>MtF<\/jats:sup>\n                      may provide information which more specifically reflects voice concerns of trans women as compared to VHI\u201010 and SVHI\u201010.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      4\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 131:1071\u20131077, 2021\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.28932","type":"journal-article","created":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T15:45:37Z","timestamp":1596555937000},"page":"1071-1077","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Voice and Stroboscopic Characteristics in Transgender Patients Seeking\n                    <scp>Gender\u2010Affirming<\/scp>\n                    Voice Care"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3095-8290","authenticated-orcid":false,"given":"VyVy N.","family":"Young","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of California\u2013San Francisco  San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Yousef","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of California\u2013San Francisco  San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina W.","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of California\u2013San Francisco  San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah L.","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of California\u2013San Francisco  San Francisco California 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