{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T15:35:07Z","timestamp":1789832107134,"version":"4.0.1"},"reference-count":26,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T00:00:00Z","timestamp":1598400000000},"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":[[2021,7]]},"abstract":"\n Objectives\/Hypothesis<\/jats:title>\n VT is often considered the preferred treatment for vocal feminization in transgender patients. However, Wendler glottoplasty offers a surgical option for increasing fundamental frequency and perception of vocal femininity. We aimed to determine whether the addition of glottoplasty to VT results in greater fundamental frequency elevation and improvement in quality\u2010of\u2010life measures.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n Retrospective case series.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Forty\u2010eight trans female patients were treated for vocal feminization. Twenty\u2010seven patients underwent VT, and 21 patients underwent VT with additional glottoplasty (VTWG). Pre\u2010 and posttreatment acoustic measures, Trans Woman Voice Questionnaire (TWVQ), and Voice Handicap Index\u201010 (VHI\u201010) data were compared.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Glottoplasty in combination with VT elevated average speaking fundamental frequency (SF0) to a greater extent than VT alone (\n P<\/jats:italic>\n \u2009<\u2009.0001). The VTWG group achieved a 42\u2010Hz increase in SF0, whereas the VT group achieved a 15\u2010Hz increase in SF0. In both the VT and VTWG groups, the lower bound of physiologic range increased by 18\u2009Hz (\n P<\/jats:italic>\n \u00a0=\u00a0.0008 and\n P<\/jats:italic>\n \u00a0=\u00a0.016, respectively). The addition of glottoplasty also resulted in greater improvement in voice\u2010related quality of life. Improvement in TWVQ and VHI\u201010 was significantly greater in the VTWG group than the VT group (\n P<\/jats:italic>\n \u00a0=\u00a0.007 and\n P<\/jats:italic>\n \u00a0=\u00a0.029, respectively). TWVQ showed statistically significant improvement in the VTWG group only.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n VT results in SF0 elevation and improvement in VHI\u201010. The addition of glottoplasty to VT results in further improvements in SF0 and VHI\u201010 and statistically significant improvement in TWVQ.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n \n 4\n Laryngoscope<\/jats:italic>\n , 131:1588\u20131593, 2021\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.29050","type":"journal-article","created":{"date-parts":[[2020,9,2]],"date-time":"2020-09-02T14:49:50Z","timestamp":1599058190000},"page":"1588-1593","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Addition of Wendler Glottoplasty to Voice Therapy Improves Trans Female Voice Outcomes"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4919-7698","authenticated-orcid":false,"given":"Sarah K.","family":"Brown","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Division of Laryngology Mount Sinai Health System New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1995-1538","authenticated-orcid":false,"given":"Joseph","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head 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\u2013Head 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\u2013Head 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\u2013Head and Neck Surgery, Division of Laryngology Mount Sinai Health System New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6885-2929","authenticated-orcid":false,"given":"Mark S.","family":"Courey","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head 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":[[2020,8,26]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/15532739.2015.1075931"},{"key":"e_1_2_7_3_1","volume-title":"The Voice Book for Trans and Non\u2010Binary People","author":"Mills M","year":"2017"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-6984.2012.00185.x"},{"key":"e_1_2_7_5_1","first-page":"41","article-title":"Transsexuality: speech therapy supporting the \u201cvoice\u201d of transformation","volume":"133","author":"Descloux P","year":"2012","journal-title":"Rev Laryngol Otol Rhinol"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2012.07.009"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/14015430310021618"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2006.05.005"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2013.08.009"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.1403.565"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1006\/brln.2000.2448"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0146167206286627"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2013.04.004"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2015.02.003"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e3283530f85"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2009.07.004"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-016-4420-8"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26127"},{"key":"e_1_2_7_19_1","unstructured":"SimsHS SmithB.The predictive value of the voice handicap index for determining compliance in voice restorative therapy. 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